[Early and late results after conventional mitral valvulotomy].

In comparison to the commissurotomy on the open heart the conventional cardiovalvulotomy even nowadays is a recommendable alternative. It is burdened by an insignificant early lethality (1.8%). After 10 years the calculated survival probability is 87.6%. Using the ultrasound cardiography, the image intensifier radioscopy and in exceptional cases the invasive ventriculography to a higher degree those patients can be comprehended preoperatively, in whom a more intensive calcification of the mitral valves or a shrinking of the subvalvular apparatus is present. In these cases primarily the valvulotomy and a substitute of the valve on the open heart, respectively, is to be aspired to.