HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Ali N. Rahman John F. Dark Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Molajo, A. O. Articles by Faragher, B. Search for Related Content PubMed PubMed Citation Articles by Molajo, A. O. Articles by Faragher, B.

Ann Thorac Surg 1988;45:364-369
© 1988 The Society of Thoracic Surgeons

---

Articles

Actuarial analysis of late results after closed mitral valvotomy

From the Regional Cardiothoracic Centre, Wythenshawe Hospital, and the Statistics Department, University Hospital of South Manchester, Manchester, England

Accepted for publication September 25, 1987.

^_* Address reprint requests to Dr. Molajo, Regional Cardiothoracic Centre, Wythenshawe Hospital, Southmoor Rd, Manchester, England M23 9LT.

The long-term results of closed mitral valvotomy performed between 1978 and 1985 in 198 patients with noncalcific mitral stenosis were analyzed. Follow-up data were available on 185 patients (93%); 1 patient died in the postoperative period, and 12 foreign patients were lost to follow-up. At the 4-year and 8-year intervals, 91% and 80% of patients, respectively, were event free (not in need of further operative procedures). By multivariate analysis, the factor preoperative mild mitral regurgitation showed a tendency to influence the event-free period. By univariate analysis, postoperative mitral regurgitation significantly reduced the event-free period. Twenty-one patients subsequently underwent mitral valve replacement; 8 for mitral regurgitation, 10 for mitral stenosis, and 3 for mixed mitral regurgitation and stenosis. By multivariate analysis, the reason for reoperation significantly influenced the length of the event-free period. The patients with mitral regurgitation required mitral valve replacement sooner than those with mitral stenosis. Advanced age, sex, previous valvotomy, preoperative New York Heart Association Functional Class, low mitral valve leaflet excursion, and pulmonary hypertension had no influence on the long-term result.

This article has been cited by other articles:

				C. Detter, T. Fischlein, C. Feldmeier, G. Nollert, H. Reichenspurner, and B. Reichart Mitral commissurotomy, a technique outdated? long-term follow-up over a period of 35 years Ann. Thorac. Surg., December 1, 1999; 68(6): 2112 - 2118. [Abstract] [Full Text] [PDF]

				J. J. Vincens, D. Temizer, J. R. Post, L. H. Edmunds Jr, and H. C. Herrmann Long-term Outcome of Cardiac Surgery in Patients With Mitral Stenosis and Severe Pulmonary Hypertension Circulation, November 1, 1995; 92(9): 137 - 142. [Abstract] [Full Text]

				U.U. Babic, Z. Popovic, M. Vucinic, Z. Djurisic, P. Pejcic, and S. Grujicic Selective Coronary Angiography Versus Two-Dimensional Echocardiography for Diagnosis of Left Atrial Thrombi Angiology, November 1, 1991; 42(11): 889 - 898. [Abstract] [PDF]