Zaretskiĭ V V, Gromova G V, Kuznetsova L M, Dadabaev A D
Kardiologiia. 1985 Apr;25(4):55-7.
A comparative study of early post-operative changes in a number of echocardiographic parameters was carried out in patients with pure and prevailing mitral stenosis following an open (24 patients) and closed (32 patients) mitral commissurotomy. The increment in the rate of early diastolic fall of the anterior mitral cusp, and total valve excursion, as well as reverse dynamics of the maximum left-atrial anteroposterior size were shown to differ significantly in post-open-commissurotomy patients from the corresponding parameters observed following the closed-technique operation. Mitral stenosis correction under visual control was associated with more effective as well as more radical results.
对24例接受开放式二尖瓣交界切开术和32例接受闭式二尖瓣交界切开术的单纯性及重度二尖瓣狭窄患者术后早期多项超声心动图参数的变化进行了对比研究。结果显示,开放式二尖瓣交界切开术后患者二尖瓣前叶舒张早期下降速率、瓣膜总活动度的增加以及左心房最大前后径的反向变化,与闭式手术术后观察到的相应参数相比有显著差异。直视下二尖瓣狭窄矫正术的效果更显著、更彻底。