McKay C R
Cardiovasc Clin. 1990;21(1):175-95; discussion 196-7.
This review of the surgical and valvuloplasty literature demonstrates that mitral valve morphology rather than the type of intervention determines the therapeutic results after surgical commissurotomy or balloon valvuloplasty treatment of mitral stenosis. The mechanism of dilatation and hemodynamic results of transventricular mitral commissurotomy and of mitral balloon valvuloplasty are similar. Both techniques should be considered palliative. Because the balloon catheter technique can achieve hemodynamic results similar to surgery and may delay the trauma and expense of surgery, it can be offered to patients as a primary treatment for relief of symptomatic mitral stenosis.
对手术和瓣膜成形术文献的综述表明，二尖瓣狭窄患者接受手术交界切开术或球囊瓣膜成形术治疗后，治疗效果取决于二尖瓣形态而非干预类型。经心室二尖瓣交界切开术和二尖瓣球囊瓣膜成形术的扩张机制及血流动力学结果相似。两种技术都应视为姑息性治疗。由于球囊导管技术可取得与手术相似的血流动力学效果，并可能延迟手术带来的创伤和费用，因此可将其作为缓解症状性二尖瓣狭窄的主要治疗方法提供给患者。
