ABSTRACT
An analysis of late results of closed mitral commissurotomy in 408 patients with the follow-up period to 18 years is presented. As pinpointed further late results of mitral commissurotomy were found to depend on the degree of stenosis of left atrioventricular orifice and concomitant mitral insufficiency, on how radical the operation was, on the presence of gross morphological changes in the valve, the stage of the disease, the activity of rheumatic process, patients' age and terms of observation. The predisposing factors and causes of restenosis of left atrioventricular valve are characterized.
Subject(s)
Mitral Valve Stenosis/surgery , Adolescent , Adult , Age Factors , Cardiac Surgical Procedures/methods , Follow-Up Studies , Humans , Middle Aged , Mitral Valve/pathology , Mitral Valve Insufficiency/pathology , Mitral Valve Insufficiency/surgery , Mitral Valve Stenosis/pathologyABSTRACT
The authors present an analysis of the late results of closed mitral commissurotomy in 364 patients (maximum terms of observation--17 years). Main causes of recurrent mitral stenosis were recognized: activation of a rheumatic process (50%), nonspecific scarring processes (27%), inadequate commissurotomies (11.1%) and others (11.1%). The routine antirheumatic therapy (bicillin+salicylates) was found to be ineffective in prophylaxis against mitral restenoses. Recurrent mitral stenosis proved to occur more frequently in patients operated upon in young age (under 30).
