title: [Mitral commissurotomy under direct vision. 37 cases].
abstract: 1 188 mitral commissurotomies were carried out between 1962 and 1976, 37 of them (3.1%) being under direct vision. The two operative deaths (5.4%) occurred early in the series. Longer term follow-up showed that 3 cases died secondarily, and 3 had revision surgery. The main complication was mitral incompetence (51% of operated cases had a systolic murmur). The varying indications and results are presented; these justify a prospective study, but not a recommendation for the systematic adoption of mitral commissurotomy by an open heart technique.
mesh_terms: D000328:Adult; D006348:Cardiac Surgical Procedures / Q000401:mortality; D005069:Evaluation Studies as Topic; D005112:Extracorporeal Circulation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000209:etiology; D008946:Mitral Valve Stenosis / Q000601:surgery*; D011183:Postoperative Complications; D011446:Prospective Studies
vernacular_title: Commissurotomie mitrale sous contrôle de la vue. 37 observations.