Kozlov V A, Nosov R S
Kardiologiia. 1977 Jan;17(1):33-9.
The problem of a surgical management of rheumatic mitral stenosis in open-heart procedures under extracorporeal circulation is discussed. The experience of 240 surgical corrections is presented: 139 open mitral commissurotomies, 101 prosthetic replacements of the mitral valve. The current status of the problem is discussed along with the problems of diagnosis, complications of mitral stenosis, and open-heart technique of surgery. On the basis of the obtained results the advantages of the open correction of complicated forms of mitral stenosis over the closed techniques are demonstrated.
讨论了体外循环下心内直视手术治疗风湿性二尖瓣狭窄的外科处理问题。介绍了240例外科矫治的经验:139例行直视二尖瓣交界切开术,101例行二尖瓣人工瓣膜置换术。同时讨论了该问题的现状以及二尖瓣狭窄的诊断问题、并发症和心内直视手术技术。根据所获结果,证明了直视矫治复杂型二尖瓣狭窄相对于闭式技术的优势。