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Facets of mitral valve surgery

  • Presidential Address
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Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Summary

  1. 1.

    In many Third World countries rheumatic valvular disease and especially that pertaining to the mitral valve remains a major threat to life.

  2. 2.

    On the basis of the evidence of this admittedly modest series of over 3,500 subjects with mitral stenosis, I believe the closed transventricular valvotomy is here to stay. It is a safe, effective, simple and economically satisfying operation.

  3. 3.

    Open valvotomy is the preferred method in Lutembecher’s syndrome, massive left atrial thrombus and selected cases of restenosis.

  4. 4.

    Mitral valve replacement has conferred benefit in calcified mitral valves and those with dominant regurgitation even in the young.

  5. 5.

    The Starr-Edward ball valve has been the valve of choice though other prosthesis have also been used.

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References

  1. John S, Muralidharan S, Jairaj PSet al.Massive left atrial thrombus complicating mitral stenosis with atrial fibrillation, Ann Thorac Surg 1976;21: 103–6.

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  2. John S, Muralidharan S, Jairaj PSet al. The profile of mitral stenosis in young patients and its surgical management. J Thorac Cardiovasc Surg 1975; 631–6.

  3. John S, Munsi SC, Bhati BSet al.Co-existent mitral disease with left to right shunt at the atrial level. J Thorac Cardiovasc Surg 1970;60: 174–7.

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  4. John S, Perianayagam WJ, Abraham KAet al.Restenosis of mitral valve-Surgical considerations and results of operation. Ann Thorac Surg 1978;25: 316–20.

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  5. John S, Munsi SC, Gupta RPet al.Results of mitral valve replacement in young patients with rheumatic heart disease. J Thorac Cardiovasc Surg 1973;66: 255–64.

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  6. John S, Bashi VV, Jairaj PSet al.Mitral valve replacement in the young patient with rheumatic heart disease-Early and late results in 118 subjects. J Thorac Cardiovasc Surg 1983;86: 209–16.

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Authors and Affiliations

  1. Department of Thoracic and Cardiovascular Surgery, Christian Medical College & Hospital, Vellore-India

    Stanley John (Professor & Head, President, Association of Thoracic & Cardiovascular Surgeons of India, 1982)

Authors
  1. Stanley John
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John, S. Facets of mitral valve surgery. Indian J Thorac Cardiovasc Surg 2, 3–6 (1983). https://doi.org/10.1007/BF02664866

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  • DOI: https://doi.org/10.1007/BF02664866

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