Abstract
In India rheumatic mitral valve disease in younger age group continues unabated. The present study consists of 170 cases of mitral valve disease in young, operated upon at Military Hospital (Cardiothoracic Centre), Pune, during the last 10 years. The clinical electro-cardiographic and roentgenographic findings are presented. Echocardiographic and haemodynamic studies were performed in a few cases. 136 cases underwent closed mitral valvotomy and in 34 cases open heart surgery was performed. Closed mitral valvotomy achieved satisfying results in majority of the cases of mitral stenosis. Open heart surgery was considered when there was gross mitral regurgitation, multivalvular disease or left atrial thrombus. Closed mitral valvotomy continues to be the treatment of choice in the majority of the cases in this age group.
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Roy SB, Bhatia ML, Lazaro EJ, Ramalingaswami V. Juvenile Mitral Stenosis in India. Lancet 1963;2: 1192–5.
Cherian G, Vytilingam KI, Sukumar IP, Gopinath N.Mitral Volvotomy in young patients. Br Heart J 1964;26: 157–66.
John S, Krishnaswami S, Jairaj PS,et al. Profile of surgical management of Mitral Stenosis in young patients. J Thorac Cardiovasc Surg 1975;69: 631–8.
Halim AM, Jacques JR.Rheumatic Heart Disease in Sudan. Br Heart J 1961;23: 297–307.
Al-Baharani IR, Thamer MA, Al-Omeri MM, Al-Naaman YD.Rheumatic Heart Disease in the young in Iraq. Br Heart J 1966;28: 824–8.
Paul ATS.The problems of mitral stenosis in childhood. Ann R Coll Surg Engl 1967;41: 387–402.
Baily CP andBolton HE.Criteria of surgery for Mitral Stenosis. N Y Med J 1956;56: 825–39.
Glover RP.Mitral Surgery in a young girl. Am J Cardiol 1959;4: 132.
Goodwin JF, Hunter JD, Cleland WP, Davis LD, Steiner RE.Mitral Valve Disease and Mitral Valvotomy. Br Med J 1955;2: 573–85.
Angelino PF, Levi V, Bursca A, andDato A.Mitral Commissurotomy in the younger age group. Am Heart J 1956;51: 916–25.
Olesen KH.The natural history of 271Patients with Mitral Stenosis under medical treatment. Br Heart J 1962;24: 349–57.
Hisao-Manabe, Choken Oyama, Soichiro Kitamura, Yasunaro Kgwashima.Valvotomy in young patients with Rheumatic Mitral Stenosis. Ann Thorac Surg 1977;23: 245–8.
Borman JB, Stern S, Shapira T, Milwidsky H, Braun K.Mitral Valvotomy in children. Am Heart J 1961;61: 783–9.
White PD.Heart diseases,4th Edn. Macmillan, New York (1951).
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Chadha, S.K., Thareja, R.N., Durairaj, M. et al. Mitral valve disease in young; Review of surgical treatment. Indian J Thorac Cardiovasc Surg 2, 29–35 (1983). https://doi.org/10.1007/BF02664871
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DOI: https://doi.org/10.1007/BF02664871