[Skip to Navigation]
December 1960

The Surgical Treatment of Residual or Recurrent Mitral Stenosis: Clinical and Hemodynamic Observations and Operative Results

Author Affiliations

Bethesda, Md.
From the Clinic of Surgery, National Heart Institute.

Arch Surg. 1960;81(6):877-882. doi:10.1001/archsurg.1960.01300060023005

Surgery has been generally employed in the treatment of mitral stenosis for over a decade. The opportunity for long-term follow-up of patients operated upon and the wider application of hemodynamic methods in evaluating the surgical result have called to attention an increasing number of patients who have not been improved by mitral commissurotomy and in whom reoperation must be considered. Repeat operation has been performed at the National Heart Institute in 13 patients. The pertinent clinical and hemodynamic data relative to these patients, the operative findings and results form the subject of this report.

Clinical and Hemodynamic Findings  The 13 patients ranged in ages from 27 to 45 years; there were 9 women and 4 men. Ten patients had had one previous operation for mitral stenosis, and 2 had been operated upon twice before. All had experienced symptoms attributable to mitral stenosis before the first operation, and systemic arterial emboli