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October 1962

Reoperation for Mitral Stenosis

Author Affiliations

Mayo Clinic and Mayo Foundation, Section of Surgery (Dr. Ellis); Fellow in Surgery (Dr. Boolukos); Section of Medicine (Dr. Connolly).

Arch Surg. 1962;85(4):675-681. doi:10.1001/archsurg.1962.01310040147016

Follow-up studies of relatively large groups of patients with mitral stenosis, after treatment by mitral commissurotomy, demonstrate that there is a gradual deterioration of good results with the passage of time.1-4 Although a number of factors may be responsible for this steady deterioration, most of the late failures reflect an initially incomplete operation, true restenosis of a completely opened valve occurring less commonly.5 It is hoped that the current widespread use of the transventricular dilator will reduce the percentage of patients requiring reoperation; yet the fact remains that increasing numbers of patients operated on by other techniques are now presenting themselves with recurrent symptoms and are again candidates for operation. The widening scope of open-heart surgery and the availability of other procedures make it desirable that the role of each technique in the management of patients with acquired lesions of the mitral valve be clarified. Accordingly, we have

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