ABSTRACT
Between 1979 and 1990, 163 patients underwent open mitral valvulotomy for pure or predominant mitral stenosi at Siriraj Hospital. There were 114 females (69.94%) and 49 males (30.06%), ranging in age from 7 to 71 years (mean, 30.69 years). Pre-operatively, 13 patients (7.98%) were in New York Heart Association (NYHA) functional class II, 138 patients (84.66%) in functional class III and 12 patients (7.36%) in functional class IV. The follow-up period ranged from 14 days to 11.33 years (mean, 3.27 years). Operative mortality was low (0.61%). Improvement in NYHA classification was found in 98 percent of these patients. At 12 years, the overall cumulative proportion surviving was 74; 59 percent of the patients survived without re-operation. In the analysis of factors affecting long-term results, there was no significant difference in any of the variable; sex, age, cardiac rhythm, mobility of cusps and subvalvular changes. This study clearly demonstrates the advantages of open mitral valvulotomy, which resulted in safe, effective and excellent long-term results.
ABSTRACT
A case of Morgagni hernia was encountered in a female patient aged 72 years, who was suffering from abdominal discomfort and shortness of breath. A preliminary diagnosis of mediastinal lipoma was suggested by computed tomography findings. However, during right-sided thoracotomy, a large Moregagni hernia containing a cluster of omentum completely enveloped in a peritoneal sac, was removed.