Percutaneous transvenous mitral commissurotomy versus surgical commissurotomy in the treatment of mitral stenosis

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Percutaneous transvenous mitral commissurotomy in juvenile mitral stenosis.

OBJECTIVE To determine the efficacy and safety of percutaneous transvenous mitral commissurotomy (PTMC), using multi-track double balloon technique in juvenile mitral stenosis. DESIGN Open non-randomised intervention. SETTING Cardiac catheterisation laboratories of The Mater Hospital, The Nairobi Hospital and Kenyatta National Hospital from 1996 to 2001. PATIENTS Forty five consecutive pa...

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SHORT TERM CLINICAL OUTCOME OF PERCUTANEOUS BALLOON MITRAL VALVULOPLASTY VERSUS SURGICAL CLOSED MITRAL COMMISSUROTOMY

BaIlon mitral valvuloplasty and closed mitral valve conunissurotomy were performed in 450 and 127 patients, respectively. Also, 254 patients with severe mitral stenosis were enrolled in a prospective randomized trial comparing the two procedures. Immediately after balloon mitral valvuloplasty, mean left atrial pressure was 11.38±3.54 mmHg, transmitral valve gradient was 1.8±2 mmHg, and mit...

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Percutaneous balloon versus surgical closed commissurotomy for mitral stenosis.

BACKGROUND We performed a prospective, randomized trial comparing percutaneous balloon commissurotomy with surgical closed commissurotomy in 40 patients with severe rheumatic mitral stenosis. METHODS AND RESULTS Data were analyzed by investigators who were masked to treatment assignment or phase of study. Patients randomized to balloon (n = 20) or surgical (n = 20) commissurotomy had severe m...

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Percutaneous transvenous mitral commissurotomy in mitral restenosis with situs inversus.

A woman, aged 30 years with situs inversus, dextrocardia and severe rheumatic mitral restenosis was referred to AFIC/NIHD for commissurotomy. A Closed Mitral Valvotomy (CMV) for severe mitral stenosis had already been done 8 years earlier, and her symptoms had reappeared. She was evaluated with transthoracic and transesophageal echocardiography and found to have a mitral valve area of 0.6 cm2, ...

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Commissurotomy for mitral stenosis.

The term "mitral commissurotomy" has been suggested to designate a procedure in which the individual anatomic leaflets of the stenotic mitral valve are surgically separated. By incising the angles or commissures of the mitral slit ("fish-mouth") a considerable degree of valve function can be re-established without the production of additional significant regurgitation. Commissurotomy, as descri...

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ژورنال

عنوان ژورنال: Clinical Cardiology

سال: 1997

ISSN: 0160-9289,1932-8737

DOI: 10.1002/clc.4960200204