Document Detail


Percutaneous mitral balloon valvotomy.
MedLine Citation:
PMID:  2054817     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Percutaneous balloon mitral valvotomy is a technique that allows relief of mitral stenosis without thoracotomy. Commissurotomy of the mitral valve with proper sized balloons that are placed antegrade by means of a transseptal catheterization results in good immediate and midterm results in most patients. Younger patients with echocardiographic scores of 8 or lower and who are without atrial fibrillation, mitral regurgitation or valvular calcification, and histories of surgical commissurotomy are the best candidates for PMV. Nevertheless, many patients who are not ideal candidates for PMV also derive substantial relief from this procedure. Mortality and morbidity related to the procedure are low in most experienced centers. Complications include pericardial tamponade, thromboembolism, rhythm abnormalities, left to right shunting, and mitral regurgitation. The survival with freedom from mitral valve replacement at 2 years after PMV is 84%. In addition to history and physical examination, echocardiography has a central role in the selection of patients for PMV.
Authors:
P C Block; E M Tuzcu; I F Palacios
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Cardiology clinics     Volume:  9     ISSN:  0733-8651     ISO Abbreviation:  Cardiol Clin     Publication Date:  1991 May 
Date Detail:
Created Date:  1991-07-29     Completed Date:  1991-07-29     Revised Date:  2010-12-01    
Medline Journal Info:
Nlm Unique ID:  8300331     Medline TA:  Cardiol Clin     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  271-87     Citation Subset:  IM    
Affiliation:
St. Vincent Heart Institute, Portland, Oregon.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Balloon Dilation* / adverse effects,  methods
Balloon Occlusion*
Follow-Up Studies
Humans
Middle Aged
Mitral Valve Stenosis / therapy*,  ultrasonography

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


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