Document Detail

Follow-up of patients undergoing percutaneous mitral balloon valvotomy. Analysis of factors determining restenosis.
MedLine Citation:
PMID:  2917388     Owner:  NLM     Status:  MEDLINE    
This study reports the clinical follow-up (13 +/- 1 months) of 100 consecutive patients who underwent percutaneous mitral balloon valvotomy (PMV). Echocardiographic (n = 32) and cardiac catheterization (n = 37) data from this group are also included. Patients were divided into two groups by an echocardiographic score. PMV resulted in a good hemodynamic result (post-PMV mitral valve area, greater than or equal to 1.5 cm2) in 88% of patients with a score of 8 or less and 44% of patients with a score of more than 8. Eighty-eight percent of patients with a score of 8 or less (n = 57) were New York Heart Association (NYHA) functional Classes III and IV before PMV; at follow-up, 81% were NYHA Class I and 12% were NYHA Class II. There were no deaths; three patients underwent mitral valve replacement (MVR). Ninety-eight percent of patients with a score of more than 8 (n = 43) were NYHA Classes III and IV before PMV; at follow-up, 58% were NYHA Classes I and II. Seven patients who did not improve and were not surgical candidates died 3.8 +/- 1.2 months after PMV. Nine patients who were surgical candidates underwent elective MVR at 4 +/- 0.9 months after PMV. Repeat cardiac catheterization demonstrated restenosis in only one of 27 patients (4%) with a score of 8 or less. Mitral valve area after PMV was 1.9 +/- 0.1 cm2 and at follow-up was 2 +/- 0.1 cm2 (NS).(ABSTRACT TRUNCATED AT 250 WORDS)
I F Palacios; P C Block; G T Wilkins; A E Weyman
Related Documents :
19521078 - Ventricular reverse remodeling early after mitral valve repair for severe chronic mitra...
2135678 - Long-term prognosis of acute rheumatic carditis with combined aortic and mitral regurgi...
2978788 - Giant left atrium and mitral valve replacement: risk factor analysis.
19931098 - Four decades of experience with mitral valve repair: analysis of differential indicatio...
20171478 - Success of zygomatic plate-screw anchorage system.
17130328 - Minor infection encouraged by steroid administration during cardiac surgery.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Circulation     Volume:  79     ISSN:  0009-7322     ISO Abbreviation:  Circulation     Publication Date:  1989 Mar 
Date Detail:
Created Date:  1989-04-06     Completed Date:  1989-04-06     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0147763     Medline TA:  Circulation     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  573-9     Citation Subset:  AIM; IM    
Cardiac Unit Department of Medicine, Massachusetts General Hospital, Boston 02114.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Atrial Fibrillation / complications
Balloon Dilatation*
Follow-Up Studies
Heart Catheterization
Middle Aged
Mitral Valve Insufficiency / complications
Mitral Valve Stenosis / diagnosis,  therapy*
Risk Factors
Statistics as Topic
Time Factors

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

Previous Document:  Coronary dilation with standard dose dipyridamole and dipyridamole combined with handgrip.
Next Document:  Hypertrophic cardiomyopathy in the elderly. Distinctions from the young based on cardiac shape.