scholarly journals End-tidal CO2monitoring in mitral stenosis patients undergoing closed mitral commissurotomy

Anaesthesia ◽  
1991 ◽  
Vol 46 (6) ◽  
pp. 494-496
Author(s):  
G. D. Puri ◽  
R. Venkatraman ◽  
H. Singh
Keyword(s):  
Mitral Stenosis ◽  
Mitral Commissurotomy ◽  
Closed Mitral Commissurotomy ◽  
End Tidal

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

2005 ◽  
Vol 8 (1) ◽  
pp. 55 ◽  
Author(s):  
Azman Ates ◽  
Yahya �nl� ◽  
Ibrahim Yekeler ◽  
Bilgehan Erkut ◽  
Yavuz Balci ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Mitral Stenosis ◽  
Operating Time ◽  
Term Survival ◽  
Long Term Outcome ◽  
Mitral Commissurotomy ◽  
Closed Mitral Commissurotomy

Purpose: To evaluate long-term survival and valve-related complications as well as prognostic factors for mid- and long-term outcome after closed mitral commissurotomy, covering a follow-up period of 14 years. Material and Methods: Between 1989 and 2003, 36 patients (28 women and 8 men, mean age 28.8 6.1 years) underwent closed mitral commissurotomy at our institution. The majority of patients were in New York Heart Association (NYHA) functional class IIB, III, or IV. Indication for closed mitral commissurotomy was mitral stenosis. Closed mitral commissurotomy was undertaken with a Tubbs dilator in all cases. Median operating time was 2.5 hours 30 minutes. Results: After closed mitral commissurotomy, the mitral valve areas of these patients were increased substantially, from 0.9 to 2.11 cm2. No further operation after initial closed mitral commissurotomy was required in 86% of the patients (n = 31), and NYHA functional classification was improved in 94% (n = 34). Postoperative complications and operative mortality were not seen. Follow-up revealed restenosis in 8.5% (n = 3) of the patients, minimal mitral regurgitation in 22.2% (n = 8), and grade 3 mitral regurgitation in 5.5% (n = 2) patients. No early mortality occurred in closed mitral commissurotomy patients. Reoperation was essential for 5 patients following closed mitral commissurotomy; 2 procedures were open mitral commissurotomies and 3 were mitral valve replacements. No mortality occurred in these patients. Conclusions: 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.

scholarly journals Closed Mitral Commissurotomy for Mitral Stenosis

1968 ◽  
Vol 167 (5) ◽  
pp. 796-800 ◽  
Author(s):  
C. Rollins Hanlon ◽  
George C. Kaiser ◽  
J. Gerard Mudd ◽  
Vallee L. Willman
Keyword(s):  
Mitral Stenosis ◽  
Mitral Commissurotomy ◽  
Closed Mitral Commissurotomy

scholarly journals Comparison between Total Echo Score and Total Commissural Morphology Score for the Outcome and Complication of Balloon and Surgical Closed Mitral Commissurotomy

1970 ◽  
Vol 1 (1) ◽  
pp. 34-43
Author(s):  
AK Choudhury ◽  
S Alam ◽  
GM Faruque ◽  
M Ali ◽  
NAM Momenuzzaman ◽  
...  
Keyword(s):  
Mitral Stenosis ◽  
Statistical Significance ◽  
Nyha Class ◽  
Technical Failure ◽  
Significant Difference ◽  
Class 1 ◽  
Procedural Complications ◽  
Mitral Commissurotomy ◽  
Closed Mitral Commissurotomy ◽  
The Individual

Background: Now a days mitral balloon valvoplasty(PTMC) is an alternative to closed surgical mitral commissurotomy (CMC) for the treatment of selectcd patients with rheumatic mitral stenosis. To compare between the total echo score (Wilkin’s score) total echocardiographic commissural morphology score (TC) for outcome and as a predictors of complications of both procedures. Method: We carried out a prospective well matched comparative observational study on 123 patients of symptomatic mitral and three patients were rejected due to procedural complications and technical failure. Result: Age ranges were 12 55 years, mean (±SD) age was 28.83+9.33 years. Out of 120 patients, 41 (34.2%) were male and 79 (65.8%) were female. Before procedure, 29 (48.3 %) and 32 (53.3 %) patients were in NYHA class III.Total Wilkins score was in the range of 4 10. Mean (±SD) of total Wilkins score were 6.43+1.53 and 6.30+1.33. Good commissural morphology (score 0 1) were present in 38 (63.5%) and 36 (60%) and bad commissural morphology (score 2 3) were present in 22 (26.7 %) and. 24 (40 %) in both groups respectively. Mitral valve area increased from a mean (±SD) of 0.80±0.16 and 0.79±0.15 to 1.94 ±0.24 and 1.92 + 0.26cm2. in PTMC and CMC groups respectively. Transmitral mean and peak pressure gradient also decreased significantly in both the individual procedures but no statistically significant difference between the procedures. NYHA class improved by class 1 or more in most patients in both groups. There were 2 (3.33 %) cases of cardiac temponade due cardiac perforation in PTMC group, of which one need repair and CMC and another was managed conservatively. There were also 3 (5 %) patients in PTMC and I (1. 66 %) patient in CMC developed peripheral thromboembolism and one patient (1.66%) developed arteriovenous fistula in PTMC group. Mitral regurgitation grade III, developed in 3 (5%) patients and one patient (1.66%) in PTMC and CMC respectively having no statistical significance. Conclusion: Total Wilkin’s score and total commissural morphology score were found to be most important preprocedural variable associcated with the outcome and as a predictors of post procedural complications Keywords: PTMC, CMC, Mitral stenosis, Rheumatic heart diseaseDOI: http://dx.doi.org/10.3329/cardio.v1i1.8202 Cardiovasc. j. 2008; 1(1) : 34-43

scholarly journals Comparison of early results of balloon mitral valvotomy to closed mitral commissurotomy in complex mitral stenosis

1990 ◽  
Vol 15 (2) ◽  
pp. A247
Author(s):  
Galal Ziady ◽  
P.Sudhakar Reddy ◽  
Hamdy Sayed ◽  
Hany Hanna ◽  
Ramez Guindy ◽  
...  
Keyword(s):  
Mitral Stenosis ◽  
Early Results ◽  
Mitral Valvotomy ◽  
Mitral Commissurotomy ◽  
Closed Mitral Commissurotomy

scholarly journals Per-operative Changes of Pulmonary Artery Pressure following Closed Mitral Commissurotomy

2019 ◽  
Vol 11 (2) ◽  
pp. 147-151
Author(s):  
Muhammed Abdul Quaium Chowdhury ◽  
Mohammad Fazle Maruf ◽  
Minhazur Rahman ◽  
Subir Barua ◽  
Mamunur Rahman ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Pulmonary Artery ◽  
Pulmonary Artery Pressure ◽  
Mitral Stenosis ◽  
Left Atrial ◽  
Atrial Pressure ◽  
Left Atrial Pressure ◽  
Artery Pressure ◽  
Mitral Commissurotomy ◽  
Closed Mitral Commissurotomy

Background: Mitral stenosis is often present with pulmonary hypertension. Closed Mitral Commissurotomy (CMC) is a treatment of choice for severe mitral stenosis. In this study, we examined the per-operative changes of pulmonary artery pressure following opening of stenosed mitral valve. Methods: All these CMCs were performed routinely through the left antero-lateral thoracotomy (4th intercostal space) and dilatation was done by metallic Tubb’s Dilator. Peroperative left atrial and Pulminary Arterial pressures were measured before and after dilatation. Results: 15 patients had undergone CMC. Following CMC, per-operative mean Pulmonary artery pressure was reduced from 45.5±7.1 mm of Hg to 39.0±8.8 mm of Hg (p=0.043). Mean left atrial pressure reduced from 35.9±5.6 mm of Hg to 30.0±9.1 mm of Hg (p = 0.049). At three months follow up after closed mitral commissurotomy mitral valve area at echocardiography was found 2.29±0.18 cm2. There was no case of death after closed mitral commissurotomy. Mild mitral regurgitation occurred in 1 patient. Conclusion: We conclude that there is immediate significant reduction of pulmonary Artery pressure following closed mitral commissurotomy. This reduction is apparently comparable with a similar reduction of left atrial pressure. Cardiovasc. j. 2019; 11(2): 147-151

Closed mitral commissurotomy for mitral stenosis with dextrocardia—case series

2014 ◽  
Vol 30 (3) ◽  
pp. 246-248
Author(s):  
Viju Joseph Abraham ◽  
Rajendra Mohan Mathur ◽  
Sanjeev Devgarha ◽  
Amita Yadav
Keyword(s):  
Mitral Stenosis ◽  
Case Series ◽  
Mitral Commissurotomy ◽  
Closed Mitral Commissurotomy

scholarly journals Congenital Absence of Pericardium: A Rare Case Associated with Severe Mitral Stenosis with Pulmonary Hypertension

1970 ◽  
Vol 3 (2) ◽  
pp. 222-225
Author(s):  
MI Zulkarnine ◽  
BMM Choudhury ◽  
MF Islam ◽  
N Ahmed
Keyword(s):  
Mitral Stenosis ◽  
Rare Case ◽  
Congenital Absence ◽  
Pericardial Defect ◽  
Anterolateral Thoracotomy ◽  
Mitral Commissurotomy ◽  
Closed Mitral Commissurotomy ◽  
Percutaneous Transluminal ◽  
Absent Pericardium ◽  
Percutaneous Transluminal Mitral Commissurotomy

We report a rare case of congenital absence of pericardium in a 35 year old middle-aged man, who underwent closed mitral commissurotomy done for severe mitral restenosis developed after Percutaneous Transluminal Mitral Commissurotomy (PTMC) six months back. Operation was done under General Anaesthesia through left anterolateral thoracotomy. Pericardial defect was discovered intraoperatively. There was no clinical symptom that could be clearly related to the defect of the pericardial sac pre-operatively. The recovery of the patient was satisfactory and uneventful. Key Words: Mitral stenosis; Absent pericardium. DOI: http://dx.doi.org/10.3329/cardio.v3i2.9193 Cardiovasc. J. 2011; 3(2): 222-225

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