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Article
November 1954

MANAGEMENT OF PATIENTS WITH MITRAL STENOSIS BEFORE, DURING, AND AFTER MITRAL VALVULOPLASTY

Author Affiliations

PHILADELPHIA; IOWA CITY

From the Cardiovascular Laboratory, the Department of Internal Medicine, and the Division of Thoracic Surgery of the Department of General Surgery, College of Medicine, State University of Iowa.

AMA Arch Intern Med. 1954;94(5):718-723. doi:10.1001/archinte.1954.00250050032005
Abstract

IT IS NOT the province of this paper to discuss in detail the diagnosis of mitral valve disease or to delineate our criteria for selection of patients for operation. We have considered the latter problem at a previous meeting of this Association.1 However, a few statements in this regard may be useful.

At the State University of Iowa Hospitals internists, radiologists, clinical physiologists, and surgeons work as a team (Fig. 1) in the selection of patients for mitral valvuloplasty and in their management. To date 95 cardiotomies have been performed on patients ranging from 11 to 60 years of age, with an operative mortality rate of only 4.3%. We do not recommend operation on patients in whom mitral stenosis exists but in whom there are no clinical symptoms referable to this lesion. All 95 patients have had symptomatic mitral valve disease; many had been deteriorating clinically, and a few

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