Article Text

Download PDFPDF
Conservative approach to the treatment of mixed mitral valve disease
  1. J. R. Belcher
  1. The London Chest and Middlesex Hospitals


    Belcher, J. R. (1973). Thorax, 28, 608-612. Conservative approach to the treatment of mixed mitral valve disease. One hundred patients with mixed mitral valve disease have been treated with the `stand-by' bypass principle. In 59 the valve was replaced; in 41 a closed transventricular valvotomy was done. The results in the two groups have been compared.

    The operative mortality for valvotomy was 7%; for valve replacement 20%. Late death occurred in 14% after valvotomy; in 25% after replacement. `Good' results were achieved in 49% after valvotomy; in 41% after replacement. Among the survivors 61% had `good' results after valvotomy as against 75% after replacement. Late emboli occurred in one patient after valvotomy; in 11 after replacement. Methods for improved selection of patients for simple valvotomy are discussed.

    Statistics from

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.