Closed mitral commissurotomy following pericardial strip posterior mitral annuloplasty
Related Experiment Video
Updated: Aug 6, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
Anto Sahayaraj Ramayyan1, Krishnan, Vasundaran Srinivasagam
1Department of Cardiothoracic Surgery, Government Stanley Medical College Hospital, Chennai, India.
Abstract:
We report a case of rheumatic multivalvular heart disease for whom closed mitral commissurotomy (CMC) was done four years after pericardial strip posterior mitral annuloplasty and aortic valve replacement (AVR). An 18-year-old male who presented initially with rheumatic mitral regurgitation and aortic regurgitation was treated with AVR and pericardial strip posterior mitral annuloplasty in 1997. One year postoperatively he presented with moderate to severe mitral regurgitation. On further follow-up, the patient developed mitral stenosis and as a redo procedure, CMC has been successfully done for the same.
Related Concept Videos
Mitral Regurgitation I: Introduction
Mitral Regurgitation III: Medical Management
Mitral Stenosis I: Introduction
Mitral Stenosis II: Clinical features and Diagnostic Tests
Mitral Stenosis III: Medical Management
Cardiomyopathy VII: Pre and Post Operative Nursing Management

