ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Commerford, P. J.
Right arrow Articles by Beck, W.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Commerford, P. J.
Right arrow Articles by Beck, W.

Ann Thorac Surg 1982;33:473-479
© 1982 The Society of Thoracic Surgeons

Articles

Closed Mitral Valvotomy: Actuarial Analysis of Results in 654 Patients over 12 Years and Analysis of Preoperative Predictors of Long-Term Survival

P.J. Commerford, M.B., Ch.B., F.C.P. (SA)*, T. Hastie, M.Sc. (UCT), W. Beck, M.B., Ch.B., F.R.C.P.

From the Cardiac Clinic and Department of Medicine, University of Cape Town and Groote Schuur Hospital, and the Institute for Biostatistics, South African Medical Research Council, Cape, Republic of South Africa

Accepted for publication July 29, 1981.

* Address reprint requests to Dr. Commerford, Cardiac Clinic, Groote Schuur Hospital, Observatory, 7925, Cape, Republic of South Africa

The records of 654 patients with mitral stenosis who underwent closed mitral valvotomy over a 12-year period were submitted to actuarial analysis. This revealed a low (2.97%) operative mortality. At 12 years, the overall cumulative proportion surviving was 78%; 47% of patients survived without reoperation. The usual clinical indicators of suitability for closed valvotomy were successful in predicting improved survival. The surgeon's assessment of the suitability of the valve correlated well with outcome. Valvotomy during pregnancy was associated with a good long-term outlook. The presence of pulmonary hypertension and atrial fibrillation did not alter survival significantly. Sex and age were not associated with adverse prognosis. We conclude that closed mitral valvotomy still has a place in the management of mobile mitral stenosis, particularly in areas where there is a high incidence of rheumatic heart disease and a large number of young patients have mobile mitral stenosis.




This article has been cited by other articles:


Home page
 J Am Coll CardiolHome page
M. N. Leon, L. C. Harrell, H. F. Simosa, N. A. Mahdi, A. Pathan, J. Lopez-Cuellar, I. Inglessis, P. R. Moreno, and I. F. Palacios
Mitral balloon valvotomy for patients with mitral stenosis in atrial fibrillation: Immediate and long-term results
J. Am. Coll. Cardiol., October 1, 1999; 34(4): 1145 - 1152.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
R. Hernandez, C. Banuelos, F. Alfonso, J. Goicolea, A. Fernandez-Ortiz, J. Escaned, L. Azcona, C. Almeria, and C. Macaya
Long-Term Clinical and Echocardiographic Follow-Up After Percutaneous Mitral Valvuloplasty With the Inoue Balloon
Circulation, March 30, 1999; 99(12): 1580 - 1586.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
M. B. Farhat, M. Ayari, F. Maatouk, F. Betbout, H. Gamra, M. Jarrar, M. Tiss, S. Hammami, R. Thaalbi, and F. Addad
Percutaneous Balloon Versus Surgical Closed and Open Mitral Commissurotomy : Seven-Year Follow-up Results of a Randomized Trial
Circulation, January 27, 1998; 97(3): 245 - 250.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1982 by The Society of Thoracic Surgeons.