The Selection and Medical Management of Patients with Mitral Stenosis Treated by Mitral Commissurotomy
Author(s) -
George C. Griffith,
Harold Miller,
Richard S. Cosby,
David C. Levinson,
Sim P. Dimitroff,
Willard J. Zinn,
Robert W. Oblath,
Lawrence Herman,
Varner J. Johns,
Bertrand W. Meyer,
J.C. Jones
Publication year - 1953
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/01.cir.7.1.30
Subject(s) - medicine , commissurotomy , stenosis , selection (genetic algorithm) , pulmonary hypertension , cardiology , mitral valve stenosis , rheumatic fever , conservative management , medical care , surgery , intensive care medicine , emergency medicine , artificial intelligence , computer science
The selection of patients for mitral commissurotomy must be made after considering all manifestations of the rheumatic state. A conservative approach is urged and no patients should be operated upon without evidences of increasing pulmonary hypertension and right heart strain. The preparation of the patient, the management of the arrhythmias during surgery and the postoperative care are the full responsibilities of the physician. A team composed of physiologists, cardiologists and surgeons must work together.
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