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): Jose M. Herrera Jose M. Bernal Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Herrera, J. M. Articles by Revuelta, J. M. Search for Related Content PubMed PubMed Citation Articles by Herrera, J. M. Articles by Revuelta, J. M.

Ann Thorac Surg 1993;55:641-645
© 1993 The Society of Thoracic Surgeons

---

Articles

Open mitral commissurotomy: Fourteen- to eighteen-year follow-up clinical study

Cardiovascular Surgery, Hospital Universitario "Marqués de Valdecilla," Universidad de Cantabria, Santander, Spain

Accepted for publication June 16, 1992.

^_* Address reprint requests to Dr Herrera, Cirugía Cardiovascular, Hospital University Valdecilla, 39008 Santander, Spain.

From May 1974 to December 1978, 159 patients with mitral stenosis underwent open mitral commissurotomy at our institution. Follow-up data were complete in 96.8%, with a mean follow-up of 13.7 years (range, 14 to 18 years). Preoperatively, most patients (n = 94) were in functional class III or IV. Valve calcification was found in 18 patients (11.3%), left atrial thrombosis was found in 21 (13.2%), and the subvalvular apparatus was affected in 105 (66%). When a residual insufficiency was detected during the operation, a mitral annuloplasty was performed (n = 43). There was one hospital death (0.6%) and 15 late deaths (9.5%). Actuarial survival at 15-year and 18-year follow-up is 89.4% ± 3% and 75.2% ± 10.8%. Fifteen patients (9.7%) had a thromboembolic episode 1 to 189 months after operation (mean, 104.3 months). Eleven patients (7%) required reoperation 3 to 183 months after operation (mean, 110.1 months). Freedom from reoperation at 18-year follow-up was 91.9% ± 2.7%. Event-free actuarial survival at 15-year and 18-year follow-up was 73.4% ± 4.2% and 54.3% ± 10.5%. Most patients (n = 131) are in class I or II. Open mitral commissurotomy represents a safe surgical alternative for treating mitral stenosis, allowing a complete removal of atrial thrombosis if present. This long-term follow-up clinical study encourages us to persist in this successful surgical repair of mitral stenosis.

This article has been cited by other articles:

				J. M. Bernal, J. Gutierrez-Morlote, J. Llorca, J. M. San Jose, D. Morales, and J. M. Revuelta Tricuspid Valve Repair: An Old Disease, a Modern Experience Ann. Thorac. Surg., December 1, 2004; 78(6): 2069 - 2074. [Abstract] [Full Text] [PDF]

				A. M. Gillinov and D. M. Cosgrove III Mitral Valve Repair , January 1, 2003; 2(2003): 933 - 950. [Full Text]

				M. B. Jatene, M. B. Marcial, F. Tarasoutchi, R. A. Cardoso, P. Pomerantzeff, and A. D. Jatene Influence of the maze procedure on the treatment of rheumatic atrial fibrillation - evaluation of rhythm control and clinical outcome in a comparative study Eur J Cardiothorac Surg, February 1, 2000; 17(2): 117 - 124. [Abstract] [Full Text] [PDF]

				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]