An all-purpose dilator on a flexible wire for transatrial mitral and tricuspidal commissurotomy

The author proposed a new dilator on a flexible wire intended for an all-purpose use through transatrial approaches in mitral and tricuspidal commissurotomy. This dilator was employed in performing operations in about 500 patients with a total death rate of 2.2 per cent. An analysis of the performed operation showed the dilator to be equally convenient in using it both from the sinistral transauricular and dextral approaches via the inter atrial septum. The lethality among patients operated on from the sinistral approach comprised 0.8, from the dextral among seriously ill patients with mitral stenosis - 2.6, in restenosis - 1 and in mitral-tricuspidal stenosis - 1.7 per cent

An all-purpose dilator on a flexible wire for transatrial mitral and tricuspidal commissurotomy

The author proposed a new dilator on a flexible wire intended for an all-purpose use through transatrial approaches in mitral and tricuspidal commissurotomy. This dilator was employed in performing operations in about 500 patients with a total death rate of 2.2 per cent. An analysis of the performed operation showed the dilator to be equally convenient in using it both from the sinistral transauricular and dextral approaches via the inter atrial septum. The lethality among patients operated on from the sinistral approach comprised 0.8, from the dextral among seriously ill patients with mitral stenosis - 2.6, in restenosis - 1 and in mitral-tricuspidal stenosis - 1.7 per cent

Transatrial instrumental mitral commissurotomy from a left side approach (Russian)

The authors propose a new method of operative intervention with instrumental transatrial mitral commissurotomy through a left-side transauricular approach by using a dilator on a flexible wire rope of a new design. The method was applied in surgery on 102 patients, aged from 18 to 56 yr. Of these 40.2 % (41) had stage IV of the affection and in 32 the operation was performed with the mitral valve in the state of calcinosis. In all of the patients a sufficiently large dilation of the mitral orifice, from 3 to 4.5 cm, could be achieved, the separation of both commissures having been effected in 91 (91.2%) of the patients. There were no complications due to the application of the dilator. One patient (0.9%) died in consequence of sepsis in the postoperative period. Late results were followed up in 75 patients over periods from 1 1/2 to 7 yr. In 69 (92%) these were held to be excellent and good. No recurrent stenosis and lethal outcomes late after surgery were on record. On the ground of positive results obtained by the authors they recommend employing the left-side transatrial commissurotomy on a flexible wire rope as an independent method of surgery in mitral stenosis which under a digital control ensures a highly effective commissurotomy with but minor traumatic lesion of the heart and minimal complications

Transatrial instrumental mitral commissurotomy from a left side approach (Russian)

The authors propose a new method of operative intervention with instrumental transatrial mitral commissurotomy through a left-side transauricular approach by using a dilator on a flexible wire rope of a new design. The method was applied in surgery on 102 patients, aged from 18 to 56 yr. Of these 40.2 % (41) had stage IV of the affection and in 32 the operation was performed with the mitral valve in the state of calcinosis. In all of the patients a sufficiently large dilation of the mitral orifice, from 3 to 4.5 cm, could be achieved, the separation of both commissures having been effected in 91 (91.2%) of the patients. There were no complications due to the application of the dilator. One patient (0.9%) died in consequence of sepsis in the postoperative period. Late results were followed up in 75 patients over periods from 1 1/2 to 7 yr. In 69 (92%) these were held to be excellent and good. No recurrent stenosis and lethal outcomes late after surgery were on record. On the ground of positive results obtained by the authors they recommend employing the left-side transatrial commissurotomy on a flexible wire rope as an independent method of surgery in mitral stenosis which under a digital control ensures a highly effective commissurotomy with but minor traumatic lesion of the heart and minimal complications

The possibility of transatrial mitral commissurotomy from the dextral approach by means of a dilator on a flexible wire

A total of 381 persons belonging to the most seriously affected population of patients with mitral stenosis were operated upon from the dextral transatrial approach by using dilators on a flexible wire. Among these were also 89 patients with mitral restenosis and 58with mitral-tricuspidal stenosis. Patients presenting a high risk of developing thromboembolic complications comprised 72.9 per cent of the total number. The operations were attended by a minimum number of complications, with the overall lethality amounting to 2.5 per cent. In cases of mitral restenosis it was brought down to 1.1 and in those of mitral-tricuspidal stenosis, down to 1.7 per cent. Most of the lethal outcomes were due to an extremely grave initial condition of the patients subjected to surgery. Two (0.5 per cent) patients succumbed on account of thromboembolisms. The results obtained differ from average figures for lethality and complications in analogous groups of patients operated upon with application of other methods. They allow the transatrial mitral commissurotomy with a dilator on a flexible wire executed from the dextral approach consider to be a simple, effective and little-traumatic method of surgical correction of the gravest forms of mitral stenosis, mitral restenosis and mitral-tricuspidal stenosis. The method deserves to be applied broadly in the clinical practice of cardiosurgical establishments

Results with a new model of dilator with a flexible cable for mitral commissurotomy with a left sided approach (Russian)

[No abstract available

Carcinoma of the gallbladder

[No abstract available

Surgical method used for correction of mitral restenosis with an elastic dilator

[No abstract available