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March 25, 1961JAMA

Traumatic Mitral Insufficiency

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Key result

Surgery for isolated mitral stenosis resulted in traumatic mitral-valve incompetence in 380 of 1,021 patients (37.2%), with severe forms leading to clinical decline.

Population

1,021 patients operated on for isolated mitral stenosis

Design

Cohort

Authors

ABAlbert N. BrestThomas Jefferson University Hospital

Discussion

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Implication

May increase post-surgical decline risk in isolated mitral stenosis; leaves open whether technique modifications reduce iatrogenic regurgitation.

Study Design

Type

Observational (n=1,021)

Structured PICO

P
Population
1,021 patients operated on for isolated mitral stenosis.
E
Exposure
Surgery for isolated mitral stenosis; surgical correction of traumatic defect (crosspolar plication alone or with Ivalon repair) in 4 subjects
O
Outcome
Creation of mitral-valve incompetence and subsequent clinical improvement or declinesafety

Surgery for isolated mitral stenosis frequently creates mitral incompetence, which can lead to clinical decline in severe cases but may be surgically correctable.

Cite This Study

Albert N. Brest (1961) conducted an observational in Isolated mitral stenosis (n=1,021). Surgery for isolated mitral stenosis was evaluated on Creation of mitral-valve incompetence. Surgery for isolated mitral stenosis resulted in traumatic mitral-valve incompetence in 380 of 1,021 patients (37.2%), with severe forms leading to clinical decline.

synapsesocial.com/papers/6a9c6d893a405cc3ac5d2affhttps://doi.org/10.1001/jama.1961.03040120043009
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