 |
|
Open Mitral Valve ReconstructionReview of 232 Operations
Adam R. Wychulis, MD;
Daniel C. Connolly, MD;
F. Henry Ellis, Jr., MD, PhD
AMA Arch Surg. 1970;101(2):332-337.
Abstract
Of 232 mitral valve reconstructions performed from 1964 through 1969, 142 were univalvular. With the 87 repairs for mitral insufficiency, five hospital deaths occurred (5.7%); follow-up of 76 survivors showed 61 improved patients (80.3% of 76), seven unimproved (six required valve replacement), and eight late deaths. Eight of the 15 failures were due to persistent or recurrent mitral insufficiency. With 55 open commissurotomies for mitral stenosis, three hospital deaths occurred (5.5%); follow-up of 47 survivors disclosed 42 improved patients (89.4%), four unimproved (three required valve replacement for mitral disease), and one late death. With 90 mitral valve reconstructions done in multivalvular procedures or with coronary artery grafting, there were nine hospital deaths (10%). The low mortality and excellent palliation with mitral valve reconstruction favor its use over valve replacement in properly selected cases.
Author Affiliations
Rochester, Minn
From the Mayo Graduate School of Medicine (University of Minnesota) (Dr. Wychulis), and the departments of internal medicine (Dr. Connolly) and surgery (Dr. Ellis), Mayo Clinic and Mayo Foundation, Rochester, Minn.
Footnotes
Accepted for publication April 23, 1970.
Read before the 27th annual meeting of the Central Surgical Association, Detroit, Feb 28, 1970.
Reprint requests to Section of Publications, Mayo Clinic, 200 First St SW, Rochester, Minn 55901.
 CiteULike  Connotea  Delicious  Digg  Facebook  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Open Mitral Commissurotomy
Vega et al.
Ann. Thorac. Surg. 1981;31:266-270.
ABSTRACT
Carpentier Ring Annuloplasty in Severe Noncalcific Mitral Insufficiency
Chopra et al.
Arch Surg 1977;112:1469-1471.
ABSTRACT
Mitral Valve Repair for Patients With Pure Mitral Insufficiency: 1- to 15-Year Follow-Up
Kay et al.
JAMA 1976;236:1584-1586.
ABSTRACT
|
