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Closed Mitral Valvotomy Versus Balloon Valvuloplasty: A Comparison of 100 Cases

Department of Cardiothoracic Surgery 1 Department of Anaesthesiology 2 Department of Cardiology Sri Venkateswara Institute of Medical Sciences Tirupati, India

For reprint information contact: Raju S Iyer, MCh Department of Cardiothoracic Surgery Sri Venkateswara Institute of Medical Sciences Tirupati 517507, Andhra Pradesh, India Tel: 91 8574 51222 Fax: 91 8574 28803

From January 1995 to December 1996, 50 patients with mitral stenosis underwent surgical valvotomy and another 50 had balloon mitral valvuloplasty. Balloon valvuloplasty was performed by the Inoue technique and surgical closed mitral valvotomy was carried out through a standard anterolateral thoracotomy with transventricular repeated Tubbs or finger dilatation. Functional status, left atrial mean transmitral gradient, mitral valve area, and left atrial size were recorded. No significant difference was found between the values of these parameters in the 2 groups of patients at the end of the study.