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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
13
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pubmed:dateCreated |
1987-4-28
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pubmed:abstractText |
The results of percutaneous mitral valvuloplasty in 5 adult patients with mitral stenosis are presented. The average age was 55 years (37-72 years); 4 patients were in functional Class III and 1 in Class IV. The three oldest patients were in atrial fibrillation, and 2 of them had severe valvular and subvalvular lesions. Valvuloplasty was carried out with a "Trefoil" balloon (3 X 12 mm; effective cross sectional area at maximal inflation: 3.8 cm2). The procedure was successful in 4 patients. In the other patient, it was not possible to position the balloon across the stenotic valve. After valvuloplasty, the mean mitral gradient decreased (14 +/- 5 to 6 +/- 2 mmHg, p less than 0.05) without a significant change in cardiac index (2.9 +/- 0.5 vs 2.7 +/- 0.4 l/mn/m2; NS): this indicated an increased mitral valve surface area (1.1 +/- 0.2 to 1.8 +/- 0.05 cm2, p less than 0.05). In parallel, echocardiographic measurements of mitral valve surface area increased from 0.9 +/- 0.2 to 1.8 +/- 0.3 cm2, p less than 0.05, and Doppler pressure halt time fell from 220 +/- 50 to 116 +/- 13 ms, p less than 0.05. There were no operative complications and, in particular, no resulting angiographic mitral regurgitation. These preliminary results suggest that percutaneous mitral valvuloplasty may be a valuable alternative therapeutic procedure to surgery in selected patients.
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pubmed:language |
fre
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0003-9683
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
79
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1896-902
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pubmed:dateRevised |
2009-2-13
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pubmed:meshHeading |
pubmed-meshheading:3105502-Adult,
pubmed-meshheading:3105502-Aged,
pubmed-meshheading:3105502-Dilatation,
pubmed-meshheading:3105502-Female,
pubmed-meshheading:3105502-Heart Catheterization,
pubmed-meshheading:3105502-Hemodynamics,
pubmed-meshheading:3105502-Humans,
pubmed-meshheading:3105502-Male,
pubmed-meshheading:3105502-Middle Aged,
pubmed-meshheading:3105502-Mitral Valve Stenosis,
pubmed-meshheading:3105502-Ultrasonography
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pubmed:year |
1986
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pubmed:articleTitle |
[Percutaneous mitral valvuloplasty in the adult. Apropos of 5 cases].
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pubmed:publicationType |
Journal Article,
English Abstract
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