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Updated: Jul 30, 2025

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Published on: May 26, 2023
Closed Mitral Valvotomy: Celebrating 100 Years of Surgical History
Uberto Bortolotti1, Igor Vendramin1, Aldo Domenico Milano2
1Cardiothoracic Department, University Hospital, Udine, Italy.
Abstract:
The year 2023 marks the 100th anniversary of the first successful valvotomy for mitral valve stenosis by Elliott C. Cutler in 1923. Closed-chest mitral valve commissurotomy developed further before being replaced by an open procedure after the advent of the heart-lung machine. Currently, because of the almost complete disappearance of rheumatic disease in the Western World, mitral commissurotomies are infrequently performed in those countries, although the procedure-either closed or open-is still performed in developing countries and select patients. This review retraces the 100-year journey from a historic operation to the current era-a milestone in the treatment of patients with mitral stenosis.
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