Why the study?
Does closed mitral commissurotomy improve long-term survival and valve-related outcomes in patients with severe rheumatic mitral stenosis?
Population
36 patients with severe rheumatic mitral stenosis, normal sinus rhythm, and Wilkins score ≤8.
Design
Cohort
Follow-up
Mean 8.7 ± 4.6 years
Authors
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May support closed commissurotomy in selected patients; leaves open need for randomized survival comparisons.
Does closed mitral commissurotomy improve long-term survival and valve-related outcomes in patients with severe rheumatic mitral stenosis?
Closed mitral commissurotomy provides excellent mid- and long-term outcomes with significant increases in mitral valve area and low reoperation rates, serving as a safe, low-cost alternative for selected patients with rheumatic mitral stenosis.
Ateş et al. (2005) studied this question.
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