Abstract
<h3>Introduction</h3> In 1933, Weiss and Davis analyzed 164 cases of fatal rheumatic heart disease that came to postmortem examination at the Boston City Hospital and reported that death was caused by systemic emboli in 25 instances or 15%.<sup>1</sup>In a clinicopathologic study of 101 cases of mitral stenosis examined at the Boston City Hospital between 1945 and 1949, peripheral infarcts were found in 49 cases; ten of these were associated with subacute bacterial endocarditis.<sup>2</sup>In 33 patients of this series systemic emboli were the cause of death. In the intervening years, the clinical course of rheumatic mitral stenosis has been markedly altered by advances in the surgical treatment of obstruction at the mitral valve, in the medical treatment of congestive heart failure and of subacute bacterial endocarditis, and in the chemotherapeutic prevention of recurrences of active rheumatic fever. On the other hand, there is no evidence that
Keywords
MedicineStenosisSubacute bacterial endocarditisEndocarditisCardiologyInternal medicineRheumatic feverMitral valveHeart failureMitral valve stenosisInfective endocarditisHeart diseaseSurgery
Related Publications
Transcatheter Mitral-Valve Repair in Patients with Heart Failure
Among patients with heart failure who have mitral regurgitation due to left ventricular dysfunction, the prognosis is poor. Transcatheter mitral-valve repair may improve their c...
Pathophysiology of Valvular Aortic Stenois in the Elderly
Aortic stenosis in the elderly is related to calcification of either a bicuspid valve or a morphologically normal tricuspid valve. There is increasing evidence that factors rela...
Prosthetic valve endocarditis.
Fifty-three (3.6%; actuarially 4.1% at 48 months) of 1465 consecutive in-hospital survivors of valve replacement from 1975 to July 1979 (aortic, mitral, or aortic and mitral, on...
Transcatheter Aortic Valve Implantation
Background— Transcatheter aortic valve implantation is an alternative to open heart surgery in patients with aortic stenosis. However, long-term data on a programmatic approach ...
The effect of chordal preservation on late outcome after mitral valve replacement: a randomized study.
Postoperative survival, hemodynamic status and exercise tolerance with or without posterior chordal preservation were compared in a case-limited prospective randomized manner in...
Publication Info
- Year
- 1964
- Type
- article
- Volume
- 114
- Issue
- 6
- Pages
- 773-773
- Citations
- 87
- Access
- Closed
External Links
Social Impact
Altmetric
PlumX Metrics
Social media, news, blog, policy document mentions
Citation Metrics
87
OpenAlex
Cite This
Luigi Casella
(1964).
Patients With Mitral Stenosis and Systemic Emboli.
Archives of Internal Medicine
, 114
(6)
, 773-773.
https://doi.org/10.1001/archinte.1964.03860120085008
Identifiers
- DOI
- 10.1001/archinte.1964.03860120085008