Skip Navigation

European Heart Journal 1995 16(8):1092-1099;
Copyright © 1995 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 IUNG, B.
Right arrow Articles by ACAR, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by IUNG, B.
Right arrow Articles by ACAR, J.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© 1995 The European Society of Cardiology

Percutaneous mitral commissurotomy in the elderly

B. IUNG, B. CORMIER, B. FARAH, O. NALLET, J.-M. PORTE, P.-L. MICHEL, A. VAHANIAN and J. ACAR

Cardiology Department, Tenon Hospital Paris, France

Received 24 November 1994; accepted 21 December 1994.

Correspondence. Bernard Iung, Service de Cardiologie, Hôpital Tenon, 4 rue de la Chine, 75020 Paris, France

Abstract

Immediate and mid-term results of percutaneous mitral commissurotomy (PMC) were assessed in 75 patients aged ≥70 years (mean 75±4 years (70 to 86)). Co-morbidities were present in 30 patients (40%), and 58 patients had calcified valves (77%). Technical failure occurred in two patients. PMC was performed in 73 patients, using a single balloon in five, two balloons in 28, and the Inoue balloon in 42.

After PMC, valve area increased from 1•0±0•2 to 1•6±0•3 cm2 as assessed by 2D echo (P<0•0001). Three procedural deaths occurred (4%). Good initial results (valve area ≥1•5 cm2 with mitral regurgitation ≤214) were obtained in 48 patients (66%). In multivariate analysis, predictors of poor initial results were previous commissurotomy (P=0•01) and valve calcification (P=0•04).

Mean follow-up was 24±18 months. The 4-year actuarial results were: survival in 59±l8%; no need for operation in 59±18%; and persistent good functional results (NYHA class I or II) in 34±16%. The only predictor of mid-term good functional results was the quality of initial results (P<0•002). In conclusion, PMC in the elderly results in moderate but significant improvement in valve function at an acceptable risk: although subsequent functional deterioration is frequent. PMC is a useful although only palliative treatment in these patients.

Key Words: Percutaneous mitral commissurotomy • mitral stenosis • ageing


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
 Ann. Thorac. Surg.Home page
H. Nakajima, J. Kobayashi, K. Bando, Y. Yasumura, S. Nakatani, K. Kimura, K. Niwaya, O. Tagusari, and S. Kitamura
Consequence of atrial fibrillation and the risk of embolism after percutaneous mitral commissurotomy: The necessity of the maze procedure
Ann. Thorac. Surg., September 1, 2004; 78(3): 800 - 805.
[Abstract] [Full Text] [PDF]

Home page
 Eur Heart JHome page
D.J.R Hildick-Smith, G.J Taylor, and L.M Shapiro
Inoue balloon mitral valvuloplasty: long-term clinical and echocardiographic follow-up of a predominantly unfavourable population
Eur. Heart J., October 2, 2000; 21(20): 1690 - 1697.
[Abstract] [PDF]

Home page
 HeartHome page
D J R HILDICK-SMITH and L M SHAPIRO
Balloon mitral valvuloplasty in the elderly
Heart, April 1, 2000; 83(4): 374 - 375.
[Full Text]

Home page
 HeartHome page
N Sutaria, A T Elder, and T R D Shaw
Long term outcome of percutaneous mitral balloon valvotomy in patients aged 70 and over
Heart, April 1, 2000; 83(4): 433 - 438.
[Abstract] [Full Text]

Home page
 HeartHome page
R. Pretre and M. I Turina
VALVE DISEASE: Cardiac valve surgery in the octogenarian
Heart, January 1, 2000; 83(1): 116 - 121.
[Full Text] [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.