Long-term Benefi ts of Closed Mitral Commissurotomy and their Hemodynamic Profi le
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 2
Abstract
Introduction: Cardiac surgery began to grow only after closed mitral commissurotomy (CMC) surgery which revolutionized the world and safeguard patients from the devastation of rheumatic fever and its common complication, rheumatic mitral stenosis. Event in modern era, CMC still plays a role in the treatment arms of rheumatic mitral stenosis. Aim: This study is done to evaluate 50 patients who have completed 10 years or more after CMC and the long-term benefi ts attained by the patients. Methods: Fifty patients who had completed 10 years following CMC surgery were chosen randomly and their clinical details collected and evaluated in terms of symptoms improvement or progression of the disease. Results: Among 50 patients studies, 37 patients (74%) does not need any further intervention. 14% patients had mitral restenosis. 2% patients had mitral restenosis with left atrial clot. 10% patients had progression of disease associated with mitral regurgitation, aortic stenosis, and regurgitation. Conclusion: This study had proved that CMC to be good palliative and cost-effective treatment allows for substantial reduction of cost and makes it the procedure of choice in developing nations like our country even in this modern era.
Authors and Affiliations
G Josephraj, M Muthukumar, P Rani, B Karthikeyan, Heber Anandan
Keywords
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