Some Observations on Mitral Stenosis: A Survey of 100 Cases Surviving Mitral Valvotomy

Fraser, Kenneth (1958) Some Observations on Mitral Stenosis: A Survey of 100 Cases Surviving Mitral Valvotomy. MD thesis, University of Glasgow.

Abstract

The clinical features of mitral stenosis are discussed with particular reference to age, the incidence of rheumatic fever and the method of grading in 100 cases surviving valvotomy. The cardinal features of the examination of these cases are discussed. The pre-operative preparation is mentioned and the various important aspects of anaesthesia, blood transfusion and the technique of the operation are explained. Some of the operative difficulties are underlined, and suggestions are made in preventing or dealing with them. The recognition and the treatment of the various post-operative complications is important. The operative mortality figures are given, and the causes of death are discussed. The alterations in the clinical examination following the operation are detailed. The results predicted at the time of operation are compared with the results obtained. The result at six months is assessed in relation to the valve split. The assessment at six months is compared with the "final" assessment. A special analysis is made of the cases operated on for three or more years, with particular reference to those cases showing deterioration. Positive auricular biopsies are correlated with the results and the value of lingular biopsies discussed. Various conclusions are drawn from these different aspects of mitral stenosis and its treatment.

• Item Type: Thesis (MD)
• Qualification Level: Doctoral
• Keywords: Medicine
• Date of Award: 1958
• Depositing User: Enlighten Team
• Unique ID: glathesis:1958-79224
• Copyright: Copyright of this thesis is held by the author.
• Date Deposited: 05 Mar 2020 11:27
• Last Modified: 05 Mar 2020 11:27
• URI: https://theses.gla.ac.uk/id/eprint/79224