[Report on 100 cases of rheumatic mitral valve disease treated with the valvuloplasty technique].
100 cases of RMVD underwent MVP successfully among 104 RMVD patients (utilization of MVP: 96%). The lesions included: MS in 31 cases, MI in 9, both in 60. preoperative cardiac function status was class III to IV in 94 cases. There were 6 early deaths and 6 late deaths (follow-up: 0.5-3.5 years). Postoperative cardiac function in 82 cases (93.2%) improved to class I to II. The authors focus their discussion on specific surgical technique and consider full functional recovery of mitral apparatus is the key for the success in MVP. The refined technique of removal of calcium deposits and thinning out of the proliferative fibrosis of the diseased valve have greatly increased the utilization of MVP. Eight standards in judgement to produce satisfactory mitral function under direct vision are described.
Zhang
X L
XL
Shanxi Provincial People's Hospital, Xian.
Deng
Y P
YP
Li
X W
XW
D000293:Adolescent; D000328:Adult; D006348:Cardiac Surgical Procedures / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D008946:Mitral Valve Stenosis / Q000601:surgery*; D012214:Rheumatic Heart Disease / Q000150:complications