Borman J B, Merin G, Romanoff H, Milwidsky H
Thorax. 1970 May;25(3):325-7. doi: 10.1136/thx.25.3.325.
A report is presented of nine patients who underwent early open mitral valve surgery after arterial embolism had occurred. Five of these patients suffered an early second arterial embolism before their mitral operation, an observation which stresses the risk inherent in delay of mitral valve surgery. The demonstration of atrial thrombi in four illustrates the potential danger of closed valvotomy techniques in such cases. Advanced pathological changes and severe stenosis of the mitral valve were found in all nine patients; valve replacement had to be done in three. All nine patients are alive and well after follow-up from 6 to 42 months. No further thromboembolic events have occurred after mitral valve surgery.
本文报告了9例在发生动脉栓塞后接受早期二尖瓣开放手术的患者。其中5例患者在二尖瓣手术前发生了早期第二次动脉栓塞，这一观察结果强调了二尖瓣手术延迟所固有的风险。4例患者心房血栓的发现说明了在这种情况下闭式瓣膜切开术的潜在危险。所有9例患者均发现二尖瓣有晚期病理改变和严重狭窄；3例患者不得不进行瓣膜置换。所有9例患者在6至42个月的随访后均存活且情况良好。二尖瓣手术后未再发生血栓栓塞事件。
