Significance of Echocardiographic Evaluation on Surgery to Mitral Stenosis

  • SHU Toshihide
    First Department of Internal Medicine, Niigata University School of Medicine
  • KASAHARA Tsuneko
    First Department of Internal Medicine, Niigata University School of Medicine
  • KABASAWA Masao
    First Department of Internal Medicine, Niigata University School of Medicine
  • KAMATA Shigeo
    First Department of Internal Medicine, Niigata University School of Medicine
  • SATOH Hironori
    First Department of Internal Medicine, Niigata University School of Medicine
  • TAMURA Kohji
    First Department of Internal Medicine, Niigata University School of Medicine
  • YAMAZAKI Yoshihiko
    Second Department of Surgery, Niigata University School of Medicine
  • SATOH Yoshitomo
    Second Department of Surgery, Niigata University School of Medicine
  • ASANO Kenichi
    Second Department of Surgery, Niigata University School of Medicine

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タイトル別名
  • Significance of Echocardiographic Evalu

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1) Diastolic descent rate (DDR) of the anterior mitral leaflet improved after the surgery. However, this improvement was not modified with a) atrial fibrillation b) damages of the subvalvular supporting tissue c) valvular calcification d) the method of the operation, namely the open or closed commissurotomy.<br>2) DDR was fairly well correlated with the mitral orifice area, the cardiac output and the pressure gradient across the mitral valve.<br>Therefore, the echocardiographic diagnosis and the follow up evaluation of the mitral stenosis after the surgery were thought to be very reliable, considering the accuracy of this diagnosis as disclosed in this study. The contributory effect to DDR was discussed.

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