钙化性二尖瓣狭窄的瓣膜切开术。

Valvotomy in calcific mitral stenosis.

作者信息

Smith G H, Belcher J R

出版信息

Br Heart J. 1970 Mar;32(2):198-202. doi: 10.1136/hrt.32.2.198.

DOI:10.1136/hrt.32.2.198

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC487303/

Abstract

The results of transventricular mitral valvotomy in 50 cases of heavily calcified mitral stenosis are presented. The mortality and quality of results in patients undergoing a first valvotomy were more satisfactory than in patients undergoing a second operation. Associated mitral incompetence has an adverse effect on the results, particularly after a second operation. As a result, it is suggested that closed valvotomy, in these circumstances, is only acceptable for patients who are undergoing a first operation and who have minimal or no regurgitation. Valve replacement is advised for all other cases.

摘要

本文介绍了50例重度钙化二尖瓣狭窄患者经心室二尖瓣切开术的结果。首次接受瓣膜切开术患者的死亡率和手术效果比接受二次手术的患者更令人满意。合并二尖瓣关闭不全对手术效果有不利影响，尤其是二次手术后。因此，建议在这些情况下，闭式瓣膜切开术仅适用于首次手术且反流轻微或无反流的患者。其他所有病例建议进行瓣膜置换。

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