Key result
Mitral commissurotomy in 3 patients with uncorrected aortic-valve lesions resulted in an exaggeration in the severity of the co-existing aortic-valve defects.
Why the study?
Does mitral commissurotomy exaggerate the severity of co-existing aortic-valve defects in patients with mitral-valve obstruction?
Case Report (n=3)
Does mitral commissurotomy exaggerate the severity of co-existing aortic-valve defects in patients with mitral-valve obstruction?
Mitral commissurotomy may exacerbate the severity of uncorrected co-existing aortic-valve defects.
Answers are grounded in this paper and cite their sources.
May worsen aortic defects after mitral commissurotomy; hypothesis-generating for multivalve management.
THE ideal response to mitral commissurotomy includes a normal blood flow into the left ventricle without the need for an elevated pressure in the left atrium and the return of cardiac output to normal levels even under the stress of exercise.The manner in which the heart responds to the surgical correction of mitral-valve obstruction when aortic-valve lesions are uncorrected has rarely been brought to serious question. The present communication records 3 cases in which mitral commissurotomy was succeeded by unmistakable evidence of an exaggeration in the severity of co-existing aortic-valve defects. The devolutionary patterns of these patients, their clinical . . .
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Uricchio et al. (1957) conducted a case report in Mitral-valve obstruction with coexisting aortic-valve lesions (n=3). Mitral commissurotomy was evaluated on Exaggeration in the severity of co-existing aortic-valve defects. Mitral commissurotomy in 3 patients with uncorrected aortic-valve lesions resulted in an exaggeration in the severity of the co-existing aortic-valve defects.
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