Why the study?
Does mitral commissurotomy improve outcomes without undue operative risk in patients over 50 with symptomatic mitral stenosis?
Does mitral commissurotomy improve outcomes without undue operative risk in patients over 50 with symptomatic mitral stenosis?
Mitral commissurotomy can be safely and effectively performed in older patients (over 50 years of age) with symptomatic mitral stenosis.
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Supports evaluating commissurotomy in older symptomatic mitral stenosis patients; case-level data leaves open need for randomized validation.
An analysis of 20 consecutive cases of mitral stenosis (from a total of 400 cases) in patients between the ages of 50 and 61 treated by mitral commissurotomy from May 1951, to October 1952, is presented. The data suggests that the patient over 50 with symptomatic mitral stenosis can have a functionally satisfactory commissurotomy performed without undue operative risk and with essentially the same ultimate degree of improvement enjoyed by patients requiring treatment at an earlier age.
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JANTON et al. (1953) studied this question.
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