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Christophe Acar
Pierre R. Tibi
Victor Jebara
Juan Carlos Chachques
Alain Carpentier
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Ann Thorac Surg 1990;49:959-963
© 1990 The Society of Thoracic Surgeons

Articles

Operative findings after percutaneous mitral dilation

Christophe Acar, MD*, Alain Deloche, MD, Pierre R. Tibi, MD, Victor Jebara, MD, Juan Carlos Chachques, MD, Jean Noel Fabiani, MD, Alain Carpentier, MD, PhD

Département de Chirurgie Cardiovasculaire, Hôpital Broussais, Paris, France

Accepted for publication December 30, 1989.

* Address reprint requests to Dr Acar, Département de Chirurgie Cardiovasculaie, Hôpital Broussais, 96 rue Didot, 75014. Paris, France.

Ten patients were operated on within one hour to 3 months after percutaneous mitral dilation. Operative analysis of the lesions demonstrated hemopericardium (n = 3), acute mitral insufficiency (n = 7), left atrial thrombus (n = 2), and atrial septal defect (n = 3). A conservative treatment of the mitral valve lesion was performed in 6 patients. All patients had uneventful postoperative courses. The complications presented in this series were either due to technical error or occurred in patients with relative contraindications to percutaneous mitral dilation (calcified commissures).




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[Abstract] [Full Text] [PDF]


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