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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
|
pubmed:dateCreated |
1993-5-4
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pubmed:abstractText |
Balloon mitral valvotomy (BMV) constitutes an important alternative to surgical closed mitral valvotomy (CMV) for the treatment of rheumatic mitral stenosis. To compare the immediate and long-term results of these procedures, 200 patients with rheumatic mitral stenosis were randomly assigned to undergo either BMV (n = 100) or CMV (n = 100). The age range was 10 to 30 (mean 19.4 +/- 6.5) years. Both procedures resulted in significant and similar increases in mitral valve area (BMV: 0.85 +/- 0.26 to 2.39 +/- 0.94 cm2; CMV: 0.79 +/- 0.21 to 2.2 +/- 0.85 cm2; p = NS). Mitral regurgitation developed in 14 patients after BMV and in 12 patients after CMV. Eighty patients in each group have now been followed for a mean period of 22 +/- 6.3 (range 6 to 38) months by repeat echocardiographic study. Restenosis (defined as a loss of more than 50% of the achieved increase in mitral valve area) was seen in four (5%) patients after BMV and in three (4%) after CMV. Symptomatic restenosis was seen in only one patient who at follow-up examination 20 months after CMV had a mitral valve area of 0.8 cm2 and underwent successful balloon valvotomy. We conclude that the immediate and long-term results obtained with percutaneous BMV and surgical closed mitral commissurotomy are comparable.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Apr
|
pubmed:issn |
0002-8703
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
125
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
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pubmed:pagination |
1091-4
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pubmed:dateRevised |
2010-11-18
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pubmed:meshHeading |
pubmed-meshheading:8465732-Adolescent,
pubmed-meshheading:8465732-Adult,
pubmed-meshheading:8465732-Balloon Dilation,
pubmed-meshheading:8465732-Child,
pubmed-meshheading:8465732-Female,
pubmed-meshheading:8465732-Follow-Up Studies,
pubmed-meshheading:8465732-Humans,
pubmed-meshheading:8465732-Male,
pubmed-meshheading:8465732-Mitral Valve,
pubmed-meshheading:8465732-Mitral Valve Stenosis,
pubmed-meshheading:8465732-Postoperative Complications,
pubmed-meshheading:8465732-Prospective Studies,
pubmed-meshheading:8465732-Time Factors
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pubmed:year |
1993
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pubmed:articleTitle |
Immediate and long-term results of balloon and surgical closed mitral valvotomy: a randomized comparative study.
|
pubmed:affiliation |
Department of Cardiology, G. B. Pant Hospital, New Delhi, India.
|
pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial
|