Technical improvements in managing the clotted atrium and calcific valve during valvuloplasty for mitral stenosis have reduced emboli and improved operative mortality.
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Technical refinements in mitral valvuloplasty may reduce emboli; hypothesis-generating for contemporary cohorts.
AS a surgeon, it is my purpose to review the operative and late results in patients who have had valvuloplasty for mitral stenosis. In addition, I should like to review a few technical maneuvers that improve the quality of valvuloplasty.Operative MortalityThe improving operative mortality is correlated with better prevention of emboli. This reduction of emboli is largely due to technical improvement in the management of the clotted atrium and calcific valve rather than to temporary head-vessel occlusion. Improved preoperative and postoperative care has contributed to safer surgery and better late results, but this is a thesis in . . .
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Dwight E. Harken (1956) studied this question.
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