Document Detail


Balloon valvuloplasty for mild mitral stenosis.
MedLine Citation:
PMID:  1913784     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Of a total number of 288 patients with mitral stenosis treated by percutaneous balloon valvuloplasty, 21 patients had a basal mitral area equal to or greater than 1.5 cm2, as measured hemodynamically. The immediate hemodynamic results of this particular group of patients with mild mitral stenosis are described, as well as the clinical and echo doppler findings at follow-up (22 +/- 12 mo). Patients with mild mitral stenosis (group I) had more pliable valves (p less than 0.01), as assessed by echo, and higher incidence of sinus rhythm (p less than 0.02) than that observed in the remaining 267 patients (group II). After valvuloplasty the valve area increased in group I from 1.7 +/- 0.2 to 3.1 +/- 0.7 cm2 (p less than 0.0001). This mean final area was significantly different (p less than 0.0001) than that observed in group II (1.98 +/- 0.6 cm2). No patients with mild mitral stenosis developed progression of mitral regurgitation, and none had any other major complications. Most of them reached a grade I final functional status. At echo doppler follow-up studies we did not observe significant changes in the mean mitral gradient as compared with the immediate hemodynamic results. These findings suggest that early mitral balloon valvuloplasty could be an alternative in trying to favorably influence the natural course of the rheumatic mitral disease in selected patients.
Authors:
M Pan; A Medina; J Suarez de Lezo; M Romero; E Hernandez; J Segura; F Melian; D Pavlovic; F Jimenez; R Vivancos
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular diagnosis     Volume:  24     ISSN:  0098-6569     ISO Abbreviation:  Cathet Cardiovasc Diagn     Publication Date:  1991 Sep 
Date Detail:
Created Date:  1991-11-13     Completed Date:  1991-11-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7508512     Medline TA:  Cathet Cardiovasc Diagn     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1-5     Citation Subset:  IM    
Affiliation:
Hospital Reina Sofía, University of Córdoba, Spain.
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MeSH Terms
Descriptor/Qualifier:
Adult
Balloon Dilatation* / methods
Echocardiography, Doppler
Follow-Up Studies
Humans
Middle Aged
Mitral Valve Stenosis / physiopathology,  therapy*,  ultrasonography
Comments/Corrections
Comment In:
Cathet Cardiovasc Diagn. 1992 Apr;25(4):343-4   [PMID:  1572001 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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