Mitral Valve Commissurotomy: Which One between the Three Techniques Gives a Better Long-Team Outcome?  

作　　者：Mahdi Aithoussa Noureddine Atmani Ayoub Abetti Mehdi Bamous Abdessamad Abdou Younes Moutakiallah Anis Seghrouchni Fouad Nya Siham Bellouize Mohamed Drissi Ilyas Asfalou Abdelatif Boulahya 

机构地区：[1]Department of Cardiac Surgery, Mohamed V Military Hospital, Mohammed V University, Rabat, Morocco [2]Department of Cardiology, Mohamed V Military Hospital, Mohammed V University, Rabat, Morocco

出　　处：《World Journal of Cardiovascular Diseases》2017年第2期37-45,共9页心血管病（英文）

摘　　要：Objective: we sought to compare long-term results of three techniques: CMC, OMC and PMC in patients with rheumatic mitral stenosis. Patients and Method: Between January 1994 and December 2015, 183 patients underwent mitral valve surgery for rheumatic mitral restenosis. All patients were investigated by echocardiography-Doppler performed by a senior cardiologist. The patients were divided into 3 groups: patients who have previously closed mitral commissurotomy (CMC n = 101), patients with previously open mitral commissurotomy (OMC n = 28) and those treated by Balloon mitral valvuloplasty (PMC = 54). Results: The three groups were comparable in term of major demographic data. Mitral restenosis occurred precociously in groups treated by PMC (7 ± 4 years), followed by group with OMC 11.4 ± 4 years and CMC group but it occurred later CMC 16.8 ± 7.8 years (p Conclusion: CMC produces better long-term outcome than OMC and PMC. However, it would be premature to conclude to its superiority.Objective: we sought to compare long-term results of three techniques: CMC, OMC and PMC in patients with rheumatic mitral stenosis. Patients and Method: Between January 1994 and December 2015, 183 patients underwent mitral valve surgery for rheumatic mitral restenosis. All patients were investigated by echocardiography-Doppler performed by a senior cardiologist. The patients were divided into 3 groups: patients who have previously closed mitral commissurotomy (CMC n = 101), patients with previously open mitral commissurotomy (OMC n = 28) and those treated by Balloon mitral valvuloplasty (PMC = 54). Results: The three groups were comparable in term of major demographic data. Mitral restenosis occurred precociously in groups treated by PMC (7 ± 4 years), followed by group with OMC 11.4 ± 4 years and CMC group but it occurred later CMC 16.8 ± 7.8 years (p Conclusion: CMC produces better long-term outcome than OMC and PMC. However, it would be premature to conclude to its superiority.

关 键 词：RHEUMATIC MITRAL STENOSIS Closed MITRAL Commissurtomy Open MITRAL Commissurotomy BALLOON MITRAL VALVULOPLASTY 

分 类 号：R5[医药卫生—内科学]