Mitral Valve Replacement After Closed Mitral Commissurotomy [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 1990; 18(2): 121-123

Mitral Valve Replacement After Closed Mitral Commissurotomy

Sabri DAĞSALI1, Murat DEMİRTAŞ1, Atilla KANCA1, İlhan GÖKYAY1, Cem ALHAN1, Erdoğan DEMİRAY1

Between November 1979 and July 1989 58 patients proviously operated with closed mitral commissurotomy (CMC) at the Center of Cardiovascular and Thoracic Surgery in Istanbul underwent open cardiac reoperations for mitral and/or other valvular lesions. Major cause of reoperation was mitral restenosis (19 cases). There were 37 female and 21 male patients whose ages ranged from 18 to 52 years (mean 38). Preoperatively, 72% were in NYHA functional class III and IV. There were 7 early (12%) and 4 late deaths (7%). Postoperative functional class showed 72% of these patients to be in class I and II. The patients were reoperated 5-20 years after the first operation. Associated valvular lesions, infections and pulmonary hypertension are the leading factors which determine the functional state, reoperation period and survival patients with previous CMC.

Keywords: Closed mitral commissurotomy, reoperation

How to cite this article
Sabri DAĞSALI, Murat DEMİRTAŞ, Atilla KANCA, İlhan GÖKYAY, Cem ALHAN, Erdoğan DEMİRAY. Mitral Valve Replacement After Closed Mitral Commissurotomy. Turk Kardiyol Dern Ars. 1990; 18(2): 121-123
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