Skip Navigation

European Heart Journal 1991 12(Supplement B):90-94; doi:10.1093/eurheartj/12.suppl_B.90
Copyright © 1991 by the European Society of Cardiology.
This Article
Right arrow Full Text (PDF)
Right arrow E-letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Bernard, Y.
Right arrow Articles by Maurat, J. P.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Bernard, Y.
Right arrow Articles by Maurat, J. P.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© 1991 The European Society of Cardiology

Percutaneous mitral valvulotomy in non-optimal candidates

Y. Bernard, J. P. Bassand, F. Schiele, T. Anguenot, M. Payet, S. Abdou and J. P. Maurat

Service de Cardiologie, C. H. R. U. Saint Jacques-F-25030 Besancon Cedex France

Correspondence: Y. Bernard, Service de Cardiologic, C.H.R.U. Saint Jacques-F-25030 Besancon, Cedex, France.

From 1987 to 1990, 215 patients aged 53±13 years underwent percutaneous mitral valvulotomy in our institution. Mean gradient dropped on average from 13 ± 4 to 5±2 mmHg and mitral value area increased from 1·0·0·26 to 1.97±0·5cm2 at the end of the procedure. Good results, defined as mitral valve area ≥1·5cm2 and mitral regurgitation ≤2+ at the end of the procedure, were obtained in 78% of the cases. In 41 patients with a poor anatomical form of mitral stenosis, mean gradient decreased from 12±3 to 6±6 mmHg and mitral valve area increased from 1·0±0.3 to 1·7±0·5cm2. Good results were obtained in only 50% of the patients. One third of the 3+ mitral regurgitation occurred in this subgroup of patients. In patients with prior surgical commissurotomy, in elderly people and in patients with msociated valvulopathy or prosthetic aortic valve, the success rate was similarly low. A significant inverse relationship was found between X-ray and echo scores on the one hand and mitral valve area at the end of the procedure on the other, thus confirming that the results of percutaneous mitral valvulotomy are related to the anatomical form of mitral stenosis. However, patients with poor anatomical forms can undergo the procedure with an acceptable risk compared to benefit ratio.

Key Words: Mitral stenosis • percutaneous mitral valvulotomy


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 JAMAHome page
J. D. Carroll and T. Feldman
Percutaneous Mitral Balloon Valvotomy and the New Demographics of Mitral Stenosis
JAMA, October 13, 1993; 270(14): 1731 - 1736.
[Abstract] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.