oa South African Medical Journal - The selection of patients for mitral valvotomy
|Article Title||The selection of patients for mitral valvotomy|
|© Publisher:||Health and Medical Publishing Group (HMPG)|
|Journal||South African Medical Journal|
|Affiliations||1 Thoracic Surgical Unit, Guy's HospitaL and Senior Surgical Registrar, Postgraduate Medical School, London.|
|Publication Date||Nov 1953|
|Pages||1 - 073|
|Keyword(s)||Cardiac catheterization, Congestive cardiac failure, Mitral stenosis, Mitral valvotomy, Pulmonary hypertension and Pulmonary oedema|
The indications for the surgical correction of mitral stenosis are reviewed. The majority of cases with this condition have a poor prognosis once disability commences, and valvotomy should be considered whilst the patient is still in the ideal stage and before complicating features develop. The effect of these features on operability is discussed. It is pointed out that although the mortality and prognosis is less favourable in cases with complications, few of them prohibit operation, and that in the majority good results usually follow a successful valvotomy. In most cases the decision on operation can be made from a consideration of the patient's history and the findings of routine physical, electrocardiographic and radiological examination.
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