[Clinical course of mitral insufficiency after commissurotomy].
In 172 patients in whom transventricular mitral commissurotomy had been complicated by the development of post-operative regurgitation the immediate and remote results of the surgery were studied. Among patients with mitral incompetence a complicated post-operative period with regurgitation of the I degree was registered in 51 per cent of the cases, with the II degree-in 73 and with the III-in 100 per cent of the patients. The principal complications included cardiac insufficiency and various derangements of the cardiac rhythm. The nature of cardiac insufficiency depended upon the degree of emerging regurgitation. A study of such patients over periods from 1 to 10 years after surgery proved good and satisfactory results to be recorded more seldom than in the case of an adequate commissurotomy and that they are dependent upon the degree of regurgitation. In the event of mitral incompetence of the II degree an urgent surgical correction of the defect is indicated. In need for operative treatment are also patients with mitral incompetence of the II degree with a possible progressive decompensation of the circulation.
D000293:Adolescent; D000328:Adult; D001145:Arrhythmias, Cardiac / Q000209:etiology; D002114:Calcinosis / Q000209:etiology; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006349:Heart Valve Diseases / Q000209:etiology; D006352:Heart Ventricles / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery; D008944:Mitral Valve Insufficiency / Q000209:etiology* / Q000503:physiopathology; D008946:Mitral Valve Stenosis / Q000601:surgery*; D011183:Postoperative Complications
Klinika i techenie mitral'noĭ nedostatochnosti posle komissurotomii