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  • Title: [Course of pulmonary hypertension in patients operated for rheumatic mitral heart disease].
    Author: Privalova EV, Cherepenin LP, Ershov VI, Baloian GM, Buravikhina TA, Ermakov AI, Ivanov AS.
    Journal: Ter Arkh; 2000; 72(4):58-62. PubMed ID: 10833802.
    Abstract:
    AIM: To study changes in pulmonary hypertension in patients with isolated mitral valvular defects of rheumatic etiology after surgical correction and in the early postoperative period. MATERIALS AND METHODS: Central hemodynamics in heart chamber probing before operation and intraoperatively were measured in 98 patients with rheumatic mitral defects (41 males, 57 females, mean age 39.5 +/- 8.74). Manometry before and after the defect correction, intraoperative catheterization (cath. Swan-Ganz) for hemodynamics 24-h follow-up were made. RESULTS: After valvular defect correction 90(91%) patients had residual pulmonary hypertension, stage II-III in 41%. CONCLUSION: Patients operated for rheumatic heart disease complicated by pulmonary hypertension often suffer from residual pulmonary hypertension. This requires pharmacological correction.
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