Incidence of Acute Mitral Regurgitation in Patients with Severe Mitral Stenosis after Post Percutaneous Transvenous Mitral Commissurotomy

Aim: To determine the incidence of Acute Mitral Regurgitation in severe mitral stenosis patients done with Post Percutaneous Transvenous Commissurotomy (PTMC). Methodology: This cross-sectional study was held Bahawalpur Heart Center, for duration six months from March 2022 to September 2022. The included 80 patients, regardless gender, between ages 19-80 years and who had not undergone PTMC. Those regurgitation stenosis, left atrial clots, end-stage renal disease were study. predefined Proforma used as a research tool document medical records PTMC patients. patient's name, age, echo results, sex, course treatment, complications post-procedure information are among variables documented on proforma. Results: mean age recorded this 43.18 ± 10.33. maximum females 65(80%). majority found have "Trace" MR, which is very slight leak heart valve. Before procedure, there 30 (37.5%) trace followed by 27 (33.8%) mild MR. 8 (10%) no MR-related difficulties, 5 (6.2%) moderate 4 (5%) mild-moderate After 63 (78.8%) experienced "no complications," 12 (15%) "severe regurgitation," local hematoma, cardiac tamponade seen one patient. Post-procedure, patient died. Post-stratification revealed that 61.3% without prior history commissurotomy female complications. While 22.4% those never MR overall Conclusion: Our showed only small proportion regurgitation. Overall, treatment successful safe. Keywords: Cardiac Tamponade, Local Site Complications, Commissurotomy, PTMC, Regurgitation,