Treatment of mitral stenosis relapses
Izmukhanov, A.K.
Kardiologiia 19(11): 28-31
1979
ISSN/ISBN: 0022-9040 PMID: 513455 Document Number: 143347
Mitral recommissurotomy was performed on 100 patients who comprised 10.5% of the 952, who underwent surgery for mitral stenosis at an earlier time. The principal means of treating patients with mitral restenosis is surgery. Contraindications against surgical intervention are the presence of 5th stage stenosis and pronounced disturbances in pulmonary and systemic circulation. When mitral restenosis is combined with stenosis of the aortic and tricuspid valves, the simultaneous removal of all stenoses is recommended. When mitral restenosis is combined with aortic and tricusped valve damage as well as with calcinosis, pronounced valvular fibrosis and an intracavitary thrombus, open correction with extracorporeal circulation is indicated. For the majority of patients with mitral restenosis, a closed recommissurotomy is preferable. This procedure causes the least mortality during surgery and provides satisfactory long-term results.