Document Detail


Effect of percutaneous mitral balloon valvuloplasty on left atrial appendage function: transesophageal echo study.
MedLine Citation:
PMID:  23102383     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: To compare left atrial appendage (LAA) function by Doppler and Doppler tissue imaging (DTI) before and after percutaneous balloon mitral valvuloplasty (PBMV).
MATERIALS AND METHODS: Fifty-nine patients with symptomatic rheumatic mitral stenosis who underwent PBMV were included in this study. LAA function was measured before and after PBMV. To study LAA function, LAA late emptying (LAALE) velocity, LAA late filling (LAALF) velocity, and LAA area change percentage (LAAAC %) were measured. In the DTI study, tissue Doppler velocities of the LAA, including peak early diastolic (E(LAA)), peak late diastolic (A(LAA)), and peak systolic (S(LAA)), were measured.
RESULTS: There was significant increase in LAALE velocity, LAALF velocity, E(LAA), A(LAA), S(LAA) waves measured by Doppler and DTI after PBMV compared with baseline (p < 0.001) but there was no significant change in LAAAC% (p = not significant). Spontaneous echo contrast was present in 10 of the 59 patients before the procedure. It completely disappeared (6 patients) or decreased (4 patients) after PBMV.
CONCLUSIONS: Our results suggest that PBMV improves LAA function and, thereby, may have a favorable influence on future thromboembolic complications.
Authors:
V Ganeswara Reddy; D Rajasekhar; V Vanajakshamma
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2012-07-27
Journal Detail:
Title:  Indian heart journal     Volume:  64     ISSN:  0019-4832     ISO Abbreviation:  Indian Heart J     Publication Date:    2012 Sep-Oct
Date Detail:
Created Date:  2012-10-29     Completed Date:  2013-07-08     Revised Date:  2014-01-23    
Medline Journal Info:
Nlm Unique ID:  0374675     Medline TA:  Indian Heart J     Country:  India    
Other Details:
Languages:  eng     Pagination:  462-8     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Cardiological Society of India. Published by Elsevier B.V. All rights reserved.
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MeSH Terms
Descriptor/Qualifier:
Adult
Atrial Appendage / physiopathology,  ultrasonography*
Atrial Function, Left*
Balloon Valvuloplasty*
Biomechanical Phenomena
Echocardiography, Doppler*
Echocardiography, Doppler, Color
Echocardiography, Transesophageal*
Female
Humans
Male
Middle Aged
Mitral Valve / physiopathology,  ultrasonography*
Mitral Valve Stenosis / physiopathology,  therapy*,  ultrasonography
Predictive Value of Tests
Recovery of Function
Rheumatic Heart Disease / physiopathology,  therapy*,  ultrasonography
Time Factors
Treatment Outcome
Young Adult
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