Korolev B A, Karov V V
Kardiologiia. 1981 Nov;21(11):21-5.
The study of late results (from 1 to 16 years) of mitral commissurotomy in 1254 patients showed that restenosis supervened in 11% of cases, and among children and youths below 18 in 19.4%. Immediate results of mitral recommissurotomy were analysed in 747 patients operated on by the "close" method. Complications during the operation were seen in 13.8% of patients, and after operation in 23.1% of cases. The main reasons of lethal outcomes were haemorrhage and cerebral thromboembolism. Low operation mortality and considerable improvement in the majority of cases enable us to consider the "close" operation as the main method to treat mitral restenosis. Calcinosis, gross fibrosis of the valve and marked mitral regurgitation require valve prosthesis.
对1254例患者二尖瓣交界切开术的远期结果（1至16年）研究表明，11%的病例出现再狭窄，18岁以下儿童和青少年中再狭窄发生率为19.4%。对采用“闭式”方法手术的747例患者的二尖瓣再次交界切开术近期结果进行了分析。13.8%的患者术中出现并发症，术后并发症发生率为23.1%。致死的主要原因是出血和脑栓塞。低手术死亡率以及大多数病例的显著改善使我们能够将“闭式”手术视为治疗二尖瓣再狭窄的主要方法。瓣膜钙质沉着、严重纤维化和明显的二尖瓣反流需要进行瓣膜置换。
