THE POSTMITRAL COMMISSUROTOMY SYNDROME: A FOUR-YEAR CLINICAL, PATHOLOGIC AND SEROLOGIC STUDY, AND ITS RELATION TO RESTENOSIS
Authors: P LISAN, A REALE, W LIKOFF
Journal: Annals of Internal Medicine (1959)

Article1 June 1959THE POSTMITRAL COMMISSUROTOMY SYNDROME: A FOUR-YEAR CLINICAL, PATHOLOGIC AND SEROLOGIC STUDY, AND ITS RELATION TO RESTENOSISPHILIP LISAN, M.D., ATTILIO REALE, M.D., WILLIAM LIKOFF, M.D., F.A.C.P.PHILIP LISAN, M.D.Search for more papers by this author, ATTILIO REALE, M.D.Search for more papers by this author, WILLIAM LIKOFF, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-50-6-1352 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptA phasic recurrent fever occurring at variable times, mainly after mitral valve surgery, associated with incisional and/or pleuritic pain, has been called the postmitral commissurotomy syndrome. The etiology of this peculiar syndrome is unknown, but speculation has ranged from rheumatic reactivation and idiopathic pleuropericarditis to a hypersensitivity reaction from nonspecific antigens such as blood in the pleural or pericardial sacs postoperatively.1, 2Considerable evidence favors the view that the postmitral commissurotomy syndrome represents reactivation of the rheumatic state.3, 4The temperature elevation is low grade and cyclic, and is associated with myalgias or true migrating polyarthralgias. It is accompanied by...Bibliography1. Dressler W: Idiopathic recurrent pericarditis, Am. J. Med. 18: 591, 1955. CrossrefMedlineGoogle Scholar2. Larson DL: Relation of the post commissurotomy syndrome to the rheumatic state, Circulation 15: 203, 1957. CrossrefMedlineGoogle Scholar3. SoloffZatuchniJantonO'NeillGlover LAJOHTRP: Reactivation of rheumatic fever following mitral commissurotomy, Circulation 8: 491, 1953. CrossrefGoogle Scholar4. Gil RA: Post commissurotomy syndrome, Am. Heart J. 49: 912, 1955. CrossrefGoogle Scholar5. ThomasAverillCastlemanBland WAJHBEF: The significance of Aschoff bodies in the left atrial appendage, New England J. Med. 249: 761, 1953. CrossrefMedlineGoogle Scholar6. Likoff W: To be published. Google Scholar7. TedeschiWagner GBM: Histochemical studies of fibrinoid substances and other abnormal tissue proteins, Arch. Path. 59: 58, 1955. Google Scholar8. TedeschiWagner CGBM: The problem of subclinical rheumatic carditis, Am. J. M. Sc. 231: 382, 1956. CrossrefMedlineGoogle Scholar9. BaileyGoldbergMorse CPHDP: Recurrent mitral stenosis, J. A. M. A. 163: 1576, 1957. CrossrefMedlineGoogle Scholar10. BlandJones EFTD: The natural history of rheumatic fever: a 20 year perspective, Ann. Int. Med. 37: 1006, 1952. LinkGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication January 9, 1959.Presented at Clinical Session B-1 at the Fortieth Annual Session of The American College of Physicians, Chicago, Illinois, April 20, 1959.From the Department of Medicine, Hahnemann Medical College and Hospital, and the Bailey Thoracic Clinic, Philadelphia, Pennsylvania.†Cardiologist, University of Rome, Rome, Italy.Requests for reprints should be addressed to William Likoff, M.D., Division of Medicine, Bailey Thoracic Clinic, 249 North Broad Street, Philadelphia 7, Pennsylvania. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPostpericardiotomy syndrome after cardiac surgeryThe history of the concept of inflammatory responses to cardiopulmonary bypassDiagnosis and management of complications of prosthetic heart valvesPostpericardiotomy SyndromesThe postcommissurotomy (postpericardiotomy) syndrome∗Postcardiotomy syndrome after implantation of a pacemakerPostpericardiotomy syndrome following traumatic hemopericardiumPERICARDIAL DISEASE COMPLICATING CONGENITAL HEART LESIONS*HERBERT J. SEMLER, M.D., ROBERT O. BRANDENBURG, M.D., F.A.C.P., JOHN W. KIRKLIN, M.D. 1 June 1959Volume 50, Issue 6Page: 1352-1358KeywordsBloodChildrenEtiologyFeversHospital medicineHypersensitivityMyalgiaMyocarditisSurgeryTemperature ePublished: 1 December 2008 Issue Published: 1 June 1959 PDF downloadLoading ...