Tanaka M, Murase M, Takeuchi E, Abe T
Jpn Circ J. 1986 Sep;50(9):865-70. doi: 10.1253/jcj.50.865.
This study aims to evaluate the different surgical procedures used in 358 patients undergoing mitral commissurotomy. 89 patients underwent closed mitral commissurotomy by finger fracture (CMCF) and 162 by transventricular dilator (CMCD). 107 patients underwent open mitral commissurotomy (OMC). The following conclusions can be made: Commissurotomy is one of the better palliative procedures for mitral stenosis (MS). It is logical to continue the use of CMCD for selected patients with MS. A careful follow-up study of patients with mitral commissurotomy is necessary, and reoperation should be carried out positively when indicated. It has been confirmed in the survey that 7 patients out of 358 succumbed to sudden death. It is one of the goals of future work to determine the causes of sudden death and to develop an effective method of prevention. It can be expected that a patient with MS who undergoes a flawless operation at the right time will survive and recover full strength.
本研究旨在评估358例行二尖瓣交界切开术患者所采用的不同手术方法。89例患者通过手指骨折法接受闭式二尖瓣交界切开术（CMCF），162例通过经心室扩张器接受该手术（CMCD）。107例患者接受了开放式二尖瓣交界切开术（OMC）。可以得出以下结论：交界切开术是二尖瓣狭窄（MS）较好的姑息性手术之一。继续对选定的MS患者使用CMCD是合理的。对二尖瓣交界切开术患者进行仔细的随访研究是必要的，如有指征应积极进行再次手术。调查证实，358例患者中有7例死于猝死。确定猝死原因并开发有效的预防方法是未来工作的目标之一。可以预期，在合适的时间接受完美手术的MS患者将存活并恢复全部体力。
