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The Journal of Thoracic and Cardiovascular Surgery, Vol 69, 631-638, Copyright © 1975 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

The profile and surgical management of mitral stenosis in young patients

S John, S Krishnaswami, PS Jairaj, G Cherian, S Muralidharan and IP Sukumar

Mitral stenosis in the younger age groups in India is a unique condition characterized by a short duration and a rapid progression of symptoms. The majority of patients with this lesion develop pulmonary hypertension at an accelerated pace, and about one third have associated congestive failure and functional tricuspid regurgitation. Five hundred consecutive patients with this condition were treated surgically, 493 with a closed valvotomy. The over-all hospital mortality rate of 5.8 per cent was related to the severity of the preoperative functional status. In the last 150 cases, the figure dropped to 2 per cent. Assessment during the first 5 years after surgery revealed an excellent functional status in 85 per cent. The incidence of restenosis was only 3.4 per cent in the first 5 year period and 11 per cent in a subsequent 6 to 10 year follow-up period. Twenty of the 21 subjects with restenosis had an excellent functional result following closed transventricular valvotomy, and this status has been maintained during the follow-up period. To our knowledge, there are no other reports of long-term follow-up data in young patients undergoing surgical treatment for mitral stenosis.

This article has been cited by other articles:

				P. J. Commerford, T. Hastie, and W. Beck Closed Mitral Valvotomy: Actuarial Analysis of Results in 654 Patients over 12 Years and Analysis of Preoperative Predictors of Long-Term Survival Ann. Thorac. Surg., May 1, 1982; 33(5): 473 - 479. [Abstract] [PDF]

				S. John, W. J. Perianayagam, K. A. Abraham, P. S. Jairaj, S. Krishnaswami, I. P. Sukumar, and G. Cherian Restenosis of the Mitral Valve: Surgical Considerations and Results of Operation Ann. Thorac. Surg., April 1, 1978; 25(4): 316 - 321. [Abstract] [PDF]