Volume : 8, Issue : 3, March - 2019

A STUDY OF CLOSED MITRAL COMMISSUROTOMY IN THE CURRENT CONTEXT

Dr. R. Meenakshisundaram, Dr. Josephrajan, Dr. Shivanraj

Abstract :

This study is a hospital based retrospective analysis in a teaching hospital.AIMS AND OBJECTIVES 1.To study the efficacy of closed mitral commissurotomy in rheumatic isolated mitral stenosisi patients2.To compare the long term outcome of baloomn mitral valvotomy and closed mitral commissutrotomy.MATERIALS AND METHODS Our study is a retrospective study of adult rheumatic mitral stenosis patients who underwent closed mitral commissurotomy between Feb2007 and Feb 2012.458 patients underwent closed mitral commissurotomy in the Department of Cardiothoracic Surgery, Government General Hospital, Chennai. We made five year followup study between Jan2017 to Jan2019 to assess the long term outcome of surgical correction in the study population during the study period .We made an assessment of postoperative improvement of symptomatology and exercise tolerance. We made a periodic assessment of mitral valve function and development of mitral regurgitation and mitral restenosis by echocardiography.CONCLUSIONSClosed mitral commissurotomy still remains a surgical palliation for selected cases of rheumatic mitral stenosis, with or without atrial fiillation even in the era of BMV with comparable results.