Long term results of mitral commissurotomy.

This study aims to evaluate the different surgical procedures used in 358 patients undergoing mitral commissurotomy. 89 patients underwent closed mitral commissurotomy by finger fracture (CMCF) and 162 by transventricular dilator (CMCD). 107 patients underwent open mitral commissurotomy (OMC). The following conclusions can be made: Commissurotomy is one of the better palliative procedures for mitral stenosis (MS). It is logical to continue the use of CMCD for selected patients with MS. A careful follow-up study of patients with mitral commissurotomy is necessary, and reoperation should be carried out positively when indicated. It has been confirmed in the survey that 7 patients out of 358 succumbed to sudden death. It is one of the goals of future work to determine the causes of sudden death and to develop an effective method of prevention. It can be expected that a patient with MS who undergoes a flawless operation at the right time will survive and recover full strength.