Use of intracardiac echocardiography to guide percutaneous transluminal mitral commissurotomy

2015 ◽  
Vol 87 (2) ◽  
pp. E69-E74 ◽  
Author(s):  
Mike Saji ◽  
Michael Ragosta ◽  
John Dent ◽  
D. Scott Lim
Keyword(s):  
Intracardiac Echocardiography ◽  
Mitral Commissurotomy ◽  
Percutaneous Transluminal ◽  
Percutaneous Transluminal Mitral Commissurotomy

Acute effect of percutaneous transluminal mitral commissurotomy on QT interval: Possible role of afterload in contraction-excitation feedback

1991 ◽  
Vol 121 (6) ◽  
pp. 1634-1639 ◽  
Author(s):  
Takeshi Yamashita ◽  
Hiroshi Inoue ◽  
Masahiro Usui ◽  
Tsongteh Kuo ◽  
Shinichiro Saihara ◽  
...  
Keyword(s):  
Qt Interval ◽  
Acute Effect ◽  
Mitral Commissurotomy ◽  
Percutaneous Transluminal ◽  
Percutaneous Transluminal Mitral Commissurotomy

scholarly journals Infective Endocarditis by Pseudomonas Species Following Percutaneous Transluminal Mitral Commissurotomy

1970 ◽  
Vol 2 (2) ◽  
pp. 252-255
Author(s):  
MT Rahman ◽  
MA Mannan ◽  
M Ullah ◽  
Z Rahman ◽  
A Khair ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Mitral Valve ◽  
Blood Culture ◽  
Anterior Leaflet ◽  
Pseudomonas Species ◽  
Percutaneous Transvenous Mitral Commissurotomy ◽  
Mitral Commissurotomy ◽  
Percutaneous Transluminal ◽  
Percutaneous Transluminal Mitral Commissurotomy

Infective mitral valve endocarditis developed in a 35-year-old male patient after a percutaneous transvenous mitral commissurotomy (PTMC). The echocardiogram demonstrated vegetation in the anterior leaflet of the mitral valve and blood culture showed growth of Pseudomonas species which was sensitive to Ceftazidime, Ciprofloxacin, Cotrimoxazole and Imipenem and resistant to Amikacin, Ceftriaxone, Gentamycin and Nitilmycin. The patient underwent treatment with intravenous ceftazidime and ciprofloxacin for six weeks and patient improved significantly and got cure of the disease. Infective mitral valve endocarditis should be recognized as a potentially lethal complication after PTMC. The important measures to prevent bacteremia during PTMC and the appropriate role of antibiotics and operation are discussed. Keywords: PTMC; Infective endocarditis. DOI: 10.3329/cardio.v2i2.6649Cardiovasc. j. 2010; 2(2) : 252-255

Pathologic analysis of restenosis following percutaneous transluminal mitral commissurotomy

2002 ◽  
Vol 57 (2) ◽  
pp. 205-210 ◽  
Author(s):  
Takahiro Tsuji ◽  
Yuji Ikari ◽  
Tsutomu Tamura ◽  
Yasuhiko Wanibuchi ◽  
Kazuhiro Hara
Keyword(s):  
Mitral Commissurotomy ◽  
Pathologic Analysis ◽  
Percutaneous Transluminal ◽  
Percutaneous Transluminal Mitral Commissurotomy

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.

scholarly journals Percutaneous Transluminal Mitral Commissurotomy in Pregnant Women with Severe Mitral Stenosis

2019 ◽  
Author(s):  
Ata Firouzi ◽  
Niloufar Samiei ◽  
Somayyeh Ahmadi ◽  
Nasim Naderi ◽  
Parham Sadeghipour ◽  
...  
Keyword(s):  
Mitral Regurgitation ◽  
Pregnant Women ◽  
Head Circumference ◽  
Apgar Score ◽  
Mitral Stenosis ◽  
The Mean ◽  
Mitral Commissurotomy ◽  
Percutaneous Transluminal ◽  
Radiation Time ◽  
Percutaneous Transluminal Mitral Commissurotomy

Background: Mitral stenosis tends to worsen during pregnancy because of the increase in the cardiac output and the heart rate. In nonresponders to medical therapy, percutaneous transluminal mitral commissurotomy (PTMC) may be performed when there is a suitable valvular anatomy. In this study, we aimed to investigate the clinical and fetal outcomes of pregnant women with mitral stenosis who underwent PTMC. Methods: Thirty-one patients undergoing PTMC during pregnancy were enrolled in this study. The mitral valve area (MVA), the transmitral valve mean gradient (MVMG), and the severity of mitral regurgitation were assessed pre- and postprocedurally by transthoracic and transesophageal echocardiography. The radiation time was measured during the procedure. The patients were followed up during pregnancy, and the neonates were monitored for weight, height, the head circumference, the birth Apgar score, and the adverse effects of radiation for at least 12 months. Results: PTMC was successfully performed on 29 (93.5%) patients. No maternal death or pulmonary edema was reported. The mean MVA significantly increased (from 0.73±0.17 cm2 to 1.28±0.24 cm2; P<0.001), and the mean MVMG significantly decreased (from 19.62±5.91 mmHg to 8.90±4.73 mmHg; P<0.001) after the procedure. A significant decrease in the systolic pulmonary artery pressure was also detected. Mitral regurgitation did not increase in severity in 16 (51.6%) patients. There was no significant relationship between the Apgar score, weight, height, and the head circumference at birth and at the radiation time. Conclusion:  In our series, PTMC during pregnancy was a safe and effective procedure. Lowering the radiation time with low frame-count techniques confers a significant decrease in radiation-related complications.

scholarly journals Congenital Absence of Pericardium: A Rare Case Associated with Severe Mitral Stenosis with Pulmonary Hypertension

1970 ◽  
Vol 3 (2) ◽  
pp. 222-225
Author(s):  
MI Zulkarnine ◽  
BMM Choudhury ◽  
MF Islam ◽  
N Ahmed
Keyword(s):  
Mitral Stenosis ◽  
Rare Case ◽  
Congenital Absence ◽  
Pericardial Defect ◽  
Anterolateral Thoracotomy ◽  
Mitral Commissurotomy ◽  
Closed Mitral Commissurotomy ◽  
Percutaneous Transluminal ◽  
Absent Pericardium ◽  
Percutaneous Transluminal Mitral Commissurotomy

We report a rare case of congenital absence of pericardium in a 35 year old middle-aged man, who underwent closed mitral commissurotomy done for severe mitral restenosis developed after Percutaneous Transluminal Mitral Commissurotomy (PTMC) six months back. Operation was done under General Anaesthesia through left anterolateral thoracotomy. Pericardial defect was discovered intraoperatively. There was no clinical symptom that could be clearly related to the defect of the pericardial sac pre-operatively. The recovery of the patient was satisfactory and uneventful. Key Words: Mitral stenosis; Absent pericardium. DOI: http://dx.doi.org/10.3329/cardio.v3i2.9193 Cardiovasc. J. 2011; 3(2): 222-225

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