Kreitmann P, Camous J P, Schmitt R, Mermet B, Dor V
Arch Mal Coeur Vaiss. 1976 Dec;69(12):1261-4.
The authors report on 50 cases of mitral commissurotomies in open heart surgery. The operations were performed during a short by-pass with hemodilution. The procedure involved the sub-valvular system in more than half the cases. There was no operative death. 41 patients were seen again regularly. The results were deemed excellent in 24 cases, good in 8, average in 6 and bad in one. On the basis of this experience, the authors think it preferable to perform commissurotomies by sight.
作者报告了50例心脏直视手术中二尖瓣交界切开术的病例。手术在短时间体外循环和血液稀释下进行。超过半数病例的手术涉及瓣膜下系统。无手术死亡。41例患者接受了定期复查。结果判定为优24例,良8例,中6例,差1例。基于这一经验,作者认为直视下进行交界切开术更为可取。