Operative management in surgery of mitral stenosis after investigation by T.M. echocardiography
Gryman, R.; Houeix, J.M.; Lehner, J.P.; Laffay, N.; Guerot, C.; Valere, P.E.; Tricot, R.
Annales de Cardiologie et d'Angeiologie 29(4): 315-319
1980
ISSN/ISBN: 0003-3928 PMID: 7447351 Document Number: 167153
To determine the echocardiographic criteria which predict the type of surgery necessary in mitral stenosis, 27 patients who underwent surgical correction for mitral disease were studied. Three echocardiographic criteria appeared: the amplitude DE depending on whether it was lower, higher or equal to 18 mm; a valve appearing calcified on the tracing; and the state of the subvalvular structures during scanning of the left ventricle. These criteria defined 2 groups of patients: those possessing 2 or 3 criteria, candidates for valvular replacement in 18 of 19 cases; and those with 1 or no criteria, who were candidates for commissurotomy with closed heart in 7 of 8 cases.