Switch to
| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
17
|
| pubmed:dateCreated |
1996-1-18
|
| pubmed:abstractText |
Percutaneous balloon mitral commissurotomy was attempted in Tunisia, where rheumatic fever is still endemic, in 463 consecutive patients with severe rheumatic mitral valve stenosis. Their mean age +/- SD was 33 +/- 12 years (range 8 to 68), 324 patients (70%) were women, and 327 (71%) were in sinus rhythm. Valvotomy was technically successful in 454 patients (98%). The mean mitral valve gradient decreased from 20 +/- 7 to 6 +/- 4 mm Hg, mean left atrial pressure decreased from 27 +/- 8 to 15 +/- 6 mm Hg, cardiac index increased from 3.0 +/- 0.7 to 3.6 +/- 0.8 L/min/m2, and Gorlin mitral valve area, from 0.97 +/- 0.19 to 2.2 +/- 0.4 cm2 (all p < 0.001). Two-dimensional echocardiographic mitral valve area increased from 1.03 +/- 0.18 to 2.15 +/- 0.36 cm2 (p < 0.00001). A final valve area of > or = 1.5 cm2 was achieved in 98% of patients. Multivariate analysis identified a pre-mitral valve area < 0.8 cm2 and an echocardiographic score (echo score) > or = 12 as the strongest predictors of residual stenosis (final mitral valve area < 1.5 cm2). Major procedural complications included mortality (0.4%), tamponade (0.7%), thromboembolism (2.0%), severe mitral regurgitation (4.6%), significant (pulmonary to systemic flow ratio > or = 1.5) interatrial shunt (4.8%). Four hundred thirty patients were followed up between 6 and 82 months (mean 37 +/- 22): 95% were in functional class I to II without reintervention, and 7 patients died (1.6%); restenosis (echocardiographic mitral valve area < 1.5 cm2) occurred in 10.4% of patients.(ABSTRACT TRUNCATED AT 250 WORDS)
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
AIM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Dec
|
| pubmed:issn |
0002-9149
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:day |
15
|
| pubmed:volume |
76
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
1266-70
|
| pubmed:dateRevised |
2010-12-1
|
| pubmed:meshHeading |
pubmed-meshheading:7503008-Adolescent,
pubmed-meshheading:7503008-Adult,
pubmed-meshheading:7503008-Aged,
pubmed-meshheading:7503008-Balloon Dilation,
pubmed-meshheading:7503008-Balloon Occlusion,
pubmed-meshheading:7503008-Child,
pubmed-meshheading:7503008-Female,
pubmed-meshheading:7503008-Humans,
pubmed-meshheading:7503008-Male,
pubmed-meshheading:7503008-Middle Aged,
pubmed-meshheading:7503008-Mitral Valve Stenosis,
pubmed-meshheading:7503008-Pregnancy,
pubmed-meshheading:7503008-Pregnancy Complications, Cardiovascular,
pubmed-meshheading:7503008-Rheumatic Heart Disease,
pubmed-meshheading:7503008-Treatment Outcome,
pubmed-meshheading:7503008-Tunisia
|
| pubmed:year |
1995
|
| pubmed:articleTitle |
Results of percutaneous double-balloon mitral commissurotomy in one medical center in Tunisia.
|
| pubmed:affiliation |
Department of Medicine, Fattouma Bourguiba University Hospital, Monastir, Tunisia.
|
| pubmed:publicationType |
Journal Article
|