|
KMID : 0364019730060010069
|
|
Korean Journal of Thoracic and Cardiovascular Surgery
1973 Volume.6 No. 1 p.69 ~ p.88
|
|
|
Open Mitral Commissurotonmy
|
|
|
|
|
Abstract
|
|
|
Twenty-one cases of open mitral commissurotomy were done between October 1963 and March 1973.
1) Preoperative embolism consists of 7 cerebral and 2 peripheral cases. Two operative cerebral embolism cases were noted.
2) There were two cases of restenosis, one associated valvular disease, three mitral insufficiency cases, and six cases of pulmonary hypertension.
3) Out of 21 cases, 13 cases of atrial fibrillation were found and two cases of atrial fibrillation were found postoperatively among 8 cases of preoperatively normal sinus rhythm.
4) During operation 10 cases of valvular calcification and 6 cases of left atrial thrombus were noted.
5) Complete blood count, electrolyte and acid base balance showed normal range of data.
6) Four helix reservoir whole blood total body perfusion and 17 cases of hemodilution perfusion utilizing Rygg-Kyvsgaard bag oxygenator with sigma motor were performed.
7) EACA 125 mg/kg intravenous administration before cardio-pulmonary bypass resulted in markedly diminished postoperative bleeding.
8) Post-perfusion urine amount was in satisfactory range.
9) There were 2 operativel mortality due to coronary embolism and three cases of hospital death, 2 due to severe hepatic failure and one due to cerebral embolism.
10) Sixteen survival cases showed marked clinical improvements and almost all of them returned to their occupation satisfactorily after operation.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
  
|