Role of Closed Mitral Commissurotomy for Mitral Stenosis: Mid- and Long-term Surgical Outcome of 36 Patients

Abstract

The mitral valve area was significantly increased and the mean mitral valve gradient was reduced in patients after closed mitral commissurotomy. Closed mitral commissurotomy is a safe alternative to open mitral commissurotomy and balloon mitral commissurotomy in selected patients.

Mitral Valve Replacement After 10 Years of Closed Mitral Commissurotomy: A Case Report

“…The functional capacity of our patient improved dramatically and she was in NYHA functional class I. Echocardiographic follow up after 3 months of MVR surgery revealed no functional dysfunction. Salerno et al 6 and Toumbouras et al 8 , both showed 82% and 88% patients improved at least one functional class after MVR and the majority was free of congestive heart failure respectively. 6,8 So it can be concluded that closed mitral commissurotomy is a safe, simple, cost effective and also provides excellent long term hemodynamic and clinical improvement in appropriately selected patients in highly skilled hand.…”

“…Salerno et al 6 and Toumbouras et al 8 , both showed 82% and 88% patients improved at least one functional class after MVR and the majority was free of congestive heart failure respectively. 6,8 So it can be concluded that closed mitral commissurotomy is a safe, simple, cost effective and also provides excellent long term hemodynamic and clinical improvement in appropriately selected patients in highly skilled hand. The mean time interval between CMC and late MVR reveals the efficacy of CMC to achieve satisfactory long term results.…”

“…In all, 19.3% patients required MVR a mean of 17.0 years after commissurotomy. 8 The indications for MVR were residual stenosis, restenosis and moderate-to-severe regurgitation. 5,8 Our patient was free from post operative complications after MVR.…”

“…8 The indications for MVR were residual stenosis, restenosis and moderate-to-severe regurgitation. 5,8 Our patient was free from post operative complications after MVR. The functional capacity of our patient improved dramatically and she was in NYHA functional class I. Echocardiographic follow up after 3 months of MVR surgery revealed no functional dysfunction.…”

Mitral Valve Commissurotomy: Which One between the Three Techniques Gives a Better Long-Team Outcome?

“…Its prevalence is at least 10 times higher than in developed countries [1]. Treatment of RMS has dramatically changed during the last few alternative to OMC and PMC [6]. In 1984, the introduction of PMC once again modified the therapeutic strategy of RMS [7].…”