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July 18, 1959

Surgical Treatment of Mitral Stenosis

JAMA. 1959;170(12):1490. doi:10.1001/jama.1959.03010120126029

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This monograph analyzes a series of 165 patients treated by mitral commissurotomy and compares it with other series reported in the literature. The monograph begins with a comprehensive but concise review of the literature. The symptoms, clinical findings, and laboratory findings are discussed in detail, with tables and graphs to illustrate important factors. Operative technique is described, with details of the findings at operation and the complications that arose. The operative mortality of 10% is analyzed and details of postoperative complications are given. Comparison of the diagnostic and operative findings is made with special reference to the degree of stenosis and the amount of regurgitation. Postoperative results are reported objectively with 52% of the patients improved, 26% unchanged, 6% worse, and 16% dead. Factors influencing these results are analyzed. A comprehensive bibliography is included.

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