| Percutaneous balloon mitral valvuloplasty: analysis of echocardiographic and other variables related to outcome. | |
| | |
MedLine Citation:
|
PMID: 8237758 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
To determine whether mitral valve (MV) morphology influences the result of balloon mitral valvuloplasty (BMV) for mitral stenosis, two-dimensional echocardiography was performed before BMV in 53 patients and in 25 normal controls. The two-dimensional echocardiographic features of MV leaflets: thickness, length and motion, diastolic MV excursion, chordal length, MV annular diameter (MVAnD), subvalvular distance ratio (SDR), and effective balloon dilating area (EBDA) and diameter (EBDD) were then correlated to the immediate post-BMV mitral valve area (MVA). For the total patient population, post-BMV MVA increased from 0.76 +/- 0.24 to 1.91 +/- 0.59 cm2 (p < 0.0001) and mean diastolic transmitral gradient decreased from 20.1 +/- 6.15 to 5.8 +/- 3.29 mm (p < 0.0001). The patients were divided into two groups on the basis of post-BMV MVA. Group I had post-BMV MVA < 2.0 cm2 and group II had post-BMV MVA > or = 2.0 cm2. A statistically significant difference was noted in SDR (0.33 +/- 0.057 vs 0.45 +/- 0.042, p < 0.0001); mid-MV anulus to tip of papillary muscle (PM) distance (20.0 +/- 3.8 vs 27.9 +/- 4.54 mm, p < 0.0001); chordal length (4.3 +/- 3.6 vs 9.8 +/- 3.9 mm, p < 0.0001); diastolic MV excursion (15.5 +/- 2.6 vs 18.2 +/- 4.2 mm, p < 0.01); leaflet mobility (p < 0.05); and EBDA (4.4 +/- 0.6 vs 4.9 +/- 0.5 cm2, p < 0.01).(ABSTRACT TRUNCATED AT 250 WORDS) |
| | |
Authors:
|
K C Goswami; S Shrivastava; G Das; V Dev |
Related Documents
:
|
20934658 - Remodeling of the mitral valve using radiofrequency energy: review of a new treatment m... 12358398 - The severity of functional mitral regurgitation depends on the shape of the mitral appa... 19725858 - Left atrial compliance and pulmonary venous flow velocities are related to functional s... 19827128 - Congenital left atrial appendage aneurysm diagnosed by fetal echocardiography. 23288158 - Pioglitazone attenuates valvular calcification induced by hypercholesterolemia. 11932678 - Long-term results of revised infrainguinal arterial reconstructions. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: American heart journal Volume: 126 ISSN: 0002-8703 ISO Abbreviation: Am. Heart J. Publication Date: 1993 Nov |
Date Detail:
|
Created Date: 1993-11-29 Completed Date: 1993-11-29 Revised Date: 2006-02-27 |
Medline Journal Info:
|
Nlm Unique ID: 0370465 Medline TA: Am Heart J Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 1147-51 Citation Subset: AIM; IM |
Affiliation:
|
All India Institute of Medical Sciences, Ansari Nagar. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Balloon Dilatation* / instrumentation Case-Control Studies Child Discriminant Analysis Female Fibrosis Humans Male Mitral Valve / anatomy & histology, pathology, ultrasonography* Mitral Valve Stenosis / pathology, therapy, ultrasonography* Prognosis Regression Analysis Rheumatic Heart Disease / pathology, therapy, ultrasonography* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Invasive electrophysiologic evaluation in octogenarians: is age a limiting factor?
Next Document: Long-term results after balloon pulmonary valvuloplasty in adults.