Open mitral comissurothomy in surgery of isolated mitral stenoses

V Popov,V Mnishenko,V Lazoryshinets,V Shimon

doi:10.1186/1749-8090-8-s1-o289

Abstract

Methods Analyzed group consists of 225 patients (pts) with MVD operated in Institute from 01.01.1081 till 01.01.2008. Average age was 51,3±6,1 yy. 151 (67,1%) pts belonged to IV NYHA class, 69 (30,7%) – to III and 5 (2,2%) pts to II. There were 69 (30,7%) males and 156 (69,3%) females. Mitral stenosis was in 191(84,9%) pts, combined MVD in 34 (15,1%) pts. Isolated OMC was performed In 146 (64,9%) pts, in 79 (35,1%) cases – in combination with other plastic procedures on MV including ring annuloplasty, suture comissuroplasty, resection of posterior leaflet. Thrombectomy of left atrium was performed in 71 (31,6%) pts including 21(9,3%) pts with massive thrombus formation. 9 (4,0%) pts were cerebral cysts after previous episods of thromboemboli. Tricuspid valve correction was occured in 69 (30,7%) pts All operations were performed with cardiopulmonary bypass, moderate hypothermia and crystalloid cardioplegia.

Highlights

Analyzed group consists of 225 patients with mitral valve disease (MVD) operated in Institute from 01.01.1081 till 01.01.2008
Mitral stenosis was in 191(84,9%) pts, combined MVD in 34 (15,1%) pts
In case of small cavity of left ventricle open mitral comissurothomy (OMC) may be alternative to prosthesis, allows to exclude obstruction of outlet of left ventricle, and in pts with massive thromboses of LA to decrease level of thromboembolic events at remote period

Summary

Introduction

Open mitral comissurothomy in surgery of isolated mitral stenoses V Popov*, V Lazoryshinets, V Shimon, V Mnishenko From 23rd World Congress of the World Society of Cardio-Thoracic Surgeons Split, Croatia. Backgound To research possibilities of open mitral comissurothomy (OMC) in correction of mitral valve disease (MVD). Methods Analyzed group consists of 225 patients (pts) with MVD operated in Institute from 01.01.1081 till 01.01.2008.

Results

Conclusion