Kozlov V A
Kardiologiia. 1978 Sep;18(9):32-6.
Open and closed methods of mitral commissurotomy are appraised in comparison. Open correction of mitral stenosis was performed under conditions of extracorporeal circulation, closed correction was accomplished by the instrumental method from right and left approaches. The advantages of open mitral commissurotomy in complicated forms of the disease (intraatrial) thrombosis, calcinosis, restenosis, concomitant regurgitation) are demonstrated. The indications for both methods of surgical treatment are substantiated and recommendations for their effective application are given.
对二尖瓣交界切开术的开放和闭合方法进行了比较评估。二尖瓣狭窄的开放矫正术在体外循环条件下进行,闭合矫正术通过器械法从右侧和左侧入路完成。证明了开放二尖瓣交界切开术在疾病复杂形式(心房内血栓形成、钙质沉着、再狭窄、合并反流)中的优势。阐述了两种手术治疗方法的适应症,并给出了有效应用的建议。