Influence of intraballoon pressure on development of severe mitral regurgitation after percutaneous transvenous mitral commissurotomy

1994 ◽  
Vol 31 (4) ◽  
pp. 270-276 ◽  
Author(s):  
Takashi Yamabe ◽  
Seiki Nagata ◽  
Fuminobu Ishikura ◽  
Kohji Kimura Md ◽  
Kunio Miyatake
Keyword(s):  
Mitral Regurgitation ◽  
Severe Mitral Regurgitation ◽  
Percutaneous Transvenous Mitral Commissurotomy ◽  
Mitral Commissurotomy

scholarly journals FREQUENCY OF ACUTE MITRAL REGURGITATION IN POST PERCUTANEOUS TRANSVENOUS MITRAL COMMISSUROTOMY PATIENTS WITH SEVERE MITRAL STENOSIS

2022 ◽  
Vol 54 (4) ◽  
pp. 328-332
Author(s):  
Zuhaib Uddin ◽  
Zeeshan Shaikh ◽  
Naveed Ahmed Shaikh ◽  
Sanaullah Shaikh ◽  
Gian Chand ◽  
...  
Keyword(s):  
Mitral Regurgitation ◽  
Mitral Stenosis ◽  
Cross Sectional Study ◽  
Severe Mitral Regurgitation ◽  
Cross Sectional ◽  
Post Procedure ◽  
Number Of Patients ◽  
Acute Mitral Regurgitation ◽  
Percutaneous Transvenous Mitral Commissurotomy ◽  
Mitral Commissurotomy

Objectives: To determine the frequency of Acute Mitral Regurgitation in Post Percutaneous Transvenous Mitral Commissurotomy (PTMC) patients with severe mitral stenosis (MS). Methodology: A cross-sectional study was conducted at the Tabba Heart Institute, Karachi, Pakistan between September 2019 and April 2021. All patients irrespective of gender, aged between 19-80 years, and those who did not undergo PTMC were eligible to partake in the study. Patients with mitral regurgitation along with mitral stenosis, or those with clot in left atrium, or those suffering with the last stage of renal disease were excluded from the study. A predefined Proforma was used as a research instrument through which medical records of patients of PTMC are collected. The variables of the Proforma include patient’s age, name, sex, echo findings, treatment procedure, post-procedure data and complications. Results: A mean age of 40.6 ± 12.63 years was reported. 86 (81.9%) of the patients developed ‘no complications’, 15 (14.3%) of the PTMC patients suffered from ‘severe mitral regurgitation’, 2 (1.9%) had local hematoma, and one patient had a cardiac tamponade after the procedure. Only one patient died post-procedure. Post-stratification analysis showed that the majority of the female patients and 83% of the patients with no previous commissurotomy history did not have any complications. While a total of 14.7% who had no history of previous commissurotomy suffered from severe MR. Conclusion: Our study revealed that only a small number of patients who underwent PTMC suffered from severe mitral regurgitation. Overall, the procedure is safe with a good outcome.

scholarly journals IMMEDIATE OUTCOMES OF PERCUTANEOUS TRANSLUMINAL MITRAL COMMISSUROTOMY IN PATIENTS OF MITRAL STENOSIS

1969 ◽  
Vol 4 (1) ◽  
pp. 393-398
Author(s):  
ABDUL WALI ◽  
MUSHTAQ AHMED ◽  
UMAIR ALI ◽  
HIKMATULLAH JAN ◽  
ADNAN MEHMOOD GUL ◽  
...  
Keyword(s):  
Mitral Regurgitation ◽  
Cardiac Tamponade ◽  
Mitral Stenosis ◽  
Cross Sectional Study ◽  
Hospital Death ◽  
Severe Mitral Regurgitation ◽  
Cross Sectional ◽  
Mitral Commissurotomy ◽  
Percutaneous Transluminal ◽  
Percutaneous Transluminal Mitral Commissurotomy

BACKGROUND: Percutaneous Transluminal Mitral Commissurotomy (PTMC) is the treatment ofchoice for mitral stenosis. Patients with valvular calcification, thickened fibrotic leaflets and subvalvularfusion have adverse immediate outcomes of PTMC.OBJECTIVE: To determine the frequency of immediate outcomes of percutaneous transluminal mitralcommissurotomy in patients of mitral stenosis.This is descriptive cross sectional study conducted in the Cardiology Unit Govt. Lady Reading HospitalPeshawar from Jan, 2008- Feb, 2012, five hundreds and seventy seven patients of mitral stenosis.METHODS: Mitral patients with or without pre existing mild mitral regurgitation admitted inCardiology Unit, Lady Reading Hospital, Khyber Teaching Hospital and Hayat Abad Medical ComplexPeshawar were included in the study. After performing PTMC according to the standard protocol, dataregarding failure of the procedure, severe mitral regurgitation, cardiac tamponade, thromboembolismand in-hospital death was recorded.RESULTS: Out of 577 patients, 220 (38.13%) were males and 357 (61.87%) were females. The meanage of the patients was 31.96±10.01 years. Failure of the procedure of PTMC was found in 38 (7%)patients, severe mitral regurgitation in 27 (5%) patients, cardiac tamponade in 1 (0.17%) patients,thromboembolism in 3 (0.52%) patients and In-hospital death occurred in 5 (0.867%) patients.CONCLUSION: PTMC is a safe and effective procedure with good immediate outcomes in patients ofmitral stenosis with favorable mitral valve morphology.KEY WORDS: Mitral stenosis, PTMC, BMV, Outcomes of PTMC.

Cardiogenic unilateral pulmonary oedema in an infant with severe residual mitral regurgitation

2016 ◽  
Vol 27 (1) ◽  
pp. 173-175
Author(s):  
Anna Joong ◽  
Wyman W. Lai ◽  
Anne Ferris
Keyword(s):  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Pulmonary Oedema ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Severe Mitral Regurgitation ◽  
Mitral Commissurotomy

AbstractAn infant with residual severe mitral regurgitation following mitral commissurotomy developed cardiogenic unilateral pulmonary oedema and subsegmental atelectasis that resolved with mechanical mitral valve replacement.

Role of Closed Mitral Commissurotomy for Mitral Stenosis: Mid- and Long-term Surgical Outcome of 36 Patients

2005 ◽  
Vol 8 (1) ◽  
pp. 55 ◽  
Author(s):  
Azman Ates ◽  
Yahya �nl� ◽  
Ibrahim Yekeler ◽  
Bilgehan Erkut ◽  
Yavuz Balci ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Mitral Stenosis ◽  
Operating Time ◽  
Term Survival ◽  
Long Term Outcome ◽  
Mitral Commissurotomy ◽  
Closed Mitral Commissurotomy

Purpose: To evaluate long-term survival and valve-related complications as well as prognostic factors for mid- and long-term outcome after closed mitral commissurotomy, covering a follow-up period of 14 years. Material and Methods: Between 1989 and 2003, 36 patients (28 women and 8 men, mean age 28.8 6.1 years) underwent closed mitral commissurotomy at our institution. The majority of patients were in New York Heart Association (NYHA) functional class IIB, III, or IV. Indication for closed mitral commissurotomy was mitral stenosis. Closed mitral commissurotomy was undertaken with a Tubbs dilator in all cases. Median operating time was 2.5 hours 30 minutes. Results: After closed mitral commissurotomy, the mitral valve areas of these patients were increased substantially, from 0.9 to 2.11 cm2. No further operation after initial closed mitral commissurotomy was required in 86% of the patients (n = 31), and NYHA functional classification was improved in 94% (n = 34). Postoperative complications and operative mortality were not seen. Follow-up revealed restenosis in 8.5% (n = 3) of the patients, minimal mitral regurgitation in 22.2% (n = 8), and grade 3 mitral regurgitation in 5.5% (n = 2) patients. No early mortality occurred in closed mitral commissurotomy patients. Reoperation was essential for 5 patients following closed mitral commissurotomy; 2 procedures were open mitral commissurotomies and 3 were mitral valve replacements. No mortality occurred in these patients. Conclusions: The mitral valve area was significantly increased and the mean mitral valve gradient was reduced in patients after closed mitral commissurotomy. Closed mitral commissurotomy is a safe alternative to open mitral commissurotomy and balloon mitral commissurotomy in selected patients.

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