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KMID : 0378019680110040073
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New Medical Journal
1968 Volume.11 No. 4 p.73 ~ p.79
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Open Cardiac Repairs on Mitral Valvular Diseases
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金奎煥/Kim, K.H.
徐相賢/洪承祿/李世淳/洪弼勳/李圭植/Suh, S.H./Lee, K.S./Hong, S.N./Lee, S.S./Hong, P.W.
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Abstract
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This report consists of six cases with mitral valvular diseases who were operated on by open cardiac repairs under cardiopulmonary by-pass.
The post operative results were excellent in four cases with normal exercise tolerance and fair or no symptomatic improvement noted in the remaining two cases, without operative mortality.
As to the failure of symptomatic improvement following surgery in the latter two cases the main cause was considered as persistent tricuspid insufficiency which was not corrected even though the mitral valvular lesion was repaired successfully.
Since the left atrial thrombosis is frequently associated with atrial fibrillation statistically in cases of mitral stenosis the closed method of mitral commissurotomy with pump stand-by is thought to be. desirable.
In one case with the left atrial myxoma who brought some difficulty in the differential diagnosis of mitral stenosis or mitral insufficiency preoperatively the definite diagnosis could be made only by finger exploration an the table and the tumor was removed by open heart under cardiopulmonary bypass successfully with dramatic symptomatic improvement.
We again impressed that whenever the signs and symptoms of mitral stenosis is bizarre and E.K.G. or cardiac catheterization findings are not well corelated with the clinical signs the possibility of diagnosis for left j atrial myxoma should always be ruled out.
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