HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Barbero-Marcial, M. Articles by Jatene, A. Search for Related Content PubMed PubMed Citation Articles by Barbero-Marcial, M. Articles by Jatene, A.

The Journal of Thoracic and Cardiovascular Surgery, Vol 106, 105-110, Copyright © 1993 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Left ventricular apical approach for the surgical treatment of congenital mitral stenosis

M Barbero-Marcial, A Riso, AT De Albuquerque, E Atik and A Jatene
Heart Institute, University of Sao Paulo Medical School, Brazil.

From June 1987 to October 1991, 12 patients with congenital mitral valve stenosis underwent surgical correction. Their ages ranged from 2 to 74 months. Nine patients were less than 22 months of age. Five patients were in New York Heart Association functional class IV, and seven patients were in class III. In nine, parachute-type mitral stenosis was clearly definite. In three, a complex congenital valvular and subvalvular stenosis was found. Associated anomalies were present in every patient; five had undergone previous operations. Correction of the mitral stenosis was done through an apical left ventriculotomy. The removal of the mitral obstruction starts from below; the papillary muscle was split and the chordae were divided or fenestrated. The commissurotomies were performed from the ventricular aspect of the mitral valve. Associated anomalies were corrected simultaneously. The operative mortality rate was zero. There was one late death, which was unrelated to cardiovascular status. The echocardiographic serial postoperative studies (up to 52 months) showed no significant residual mitral stenosis and normal global and regional function of the left ventricle in all but one patient.

This article has been cited by other articles:

				P. W. Oosthoek, A. C. G. Wenink, A. J. Macedo, and A. C. Gittenberger-de Groot THE PARACHUTE-LIKE ASYMMETRIC MITRAL VALVE AND ITS TWO PAPILLARY MUSCLES J. Thorac. Cardiovasc. Surg., July 1, 1997; 114(1): 9 - 15. [Abstract] [Full Text]

				M. S. Uva, L. Galletti, F. L. Gayet, D. Piot, A. Serraf, J. Bruniaux, J. Comas, R. Roussin, A. Touchot, J. P. Binet, et al. Surgery for congenital mitral valve disease in the first year of life J. Thorac. Cardiovasc. Surg., January 1, 1995; 109(1): 164 - 176. [Abstract] [Full Text]