Article

[Percutaneous mitral commissurotomy. 5-year results].

Service de cardiologie, Hôpital de Sfax, Tunisie.
La Tunisie médicale 11/2001; 79(11):581-6. pp.581-6
Source: PubMed

ABSTRACT Long-term results of percutaneous mitral commissurotomy were evaluated in 410 patients with mean age of 31 years (18 to 68 years). 48% of patients had mean thickened leaflets, 35% had calcified valves and 17% had flexible leaflets and subvalvular apparatus. Procedure was performed with a double balloon in 57% and with Inoue's balloon in 43% patients. A good immediate results was obtained in 77% of patients. A good result was defined as a mitral valve area > or = 1.5 cm2 without mitral regurgitation. Clinical follow-up concern 378 patients. The actuarial 5 years rate were 84% in our serie, without surgery or new percutaneous mitral commissurotomy and good functional results (NYHA class I or II) were 71%. Valvular anatomy, immediate results (mitral valve area), history of mitral commissurotomy, old patients, atrial fibrillation can influence strongly the results.

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Keywords

actuarial 5 years rate
 
Clinical follow-up concern 378 patients
 
double balloon
 
good functional results
 
good immediate results
 
immediate results
 
Inoue's balloon
 
Long-term results
 
mitral valve area
 
new percutaneous mitral commissurotomy
 
NYHA class
 
percutaneous mitral commissurotomy
 
serie
 
subvalvular apparatus
 
thickened leaflets
 
Valvular anatomy
 

S Ben Youssef