De Gasperis C
G Ital Cardiol. 1983;13(3):184-6.
The paper summarizes a personal experience at Harefield Hospital in surgical repair of the mitral valve. From Oct. 1976 to June 1978 among 43 consecutive mitral valve operations 38 reparative procedures were performed. The aetiology was rheumatic in 32 cases, degenerative (floppy valve) in 4; subacute bacterial endocarditis superimposed on a rheumatic valve in 1 and congenital in 1. The mitral valve was stenotic in 21 cases, incompetent in 5 and both stenotic and incompetent in 13. One patient died, whereas two had to be reoperated. At a postoperative symptomatic evaluation (mean follow up 25 months) 25 patients (71%) are asymptomatic; 9 (26%) are improved and 1 remains unchanged.
本文总结了在 Harefield 医院进行二尖瓣手术修复的个人经验。1976 年 10 月至 1978 年 6 月期间，在连续 43 例二尖瓣手术中，进行了 38 例修复手术。病因方面，风湿性 32 例，退行性（瓣膜脱垂）4 例，风湿性瓣膜合并亚急性细菌性心内膜炎 1 例，先天性 1 例。二尖瓣狭窄 21 例，关闭不全 5 例，狭窄并关闭不全 13 例。1 例患者死亡，2 例需再次手术。术后症状评估（平均随访 25 个月）显示，25 例患者（71%）无症状；9 例（26%）病情改善，1 例无变化。
