Reinterventions after percutaneous mitral commissurotomy during long-term follow-up, up to 20 years: the role of repeat percutaneous mitral commissurotomy

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Reinterventions after percutaneous mitral commissurotomy during long-term follow-up, up to 20 years: the role of repeat percutaneous mitral commissurotomy.

AIMS We analysed reinterventions performed during long-term follow-up after percutaneous mitral commissurotomy (PMC) with a particular focus on freedom from mitral surgery and late results of repeat PMC. METHODS AND RESULTS In 912 patients who had good immediate results of PMC (valve area ≥1.5 cm² with mitral regurgitation ≤2/4), we analysed survival without reintervention (surgery or repeat ...

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Long-term follow-up of patients with percutaneous mitral commissurotomy.

BACKGROUND Percutaneous mitral commissurotomy (PMC) has become the procedure of choice for patients with isolated mitral stenosis. AIM To assess immediate and long-term results of PMC and identify predictors of event-free survival. METHODS Percutaneous mitral commissurotomy was attempted in 1380 patients (mean age 49.36+/-10.0 years) with severe mitral stenosis. RESULTS Good immediate res...

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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 transhepatic mitral commissurotomy.

A novel, transhepatic approach to mitral valvuloplasty is described in a patient with an inferior vena caval filter. After transhepatic transseptal puncture, an Inoue dilatation catheter was passed through the hepatic parenchyma and across the atrial septum. Balloon mitral valvuloplasty was performed without complications. This approach should be considered when femoral venous access is restric...

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Percutaneous balloon mitral commissurotomy during pregnancy.

OBJECTIVE To evaluate the effectiveness and safety of percutaneous balloon mitral commissurotomy for the treatment of pregnant women with severe mitral stenosis over a period of six years. DESIGN Analysis of clinical, haemodynamic, and echocardiographic data before and immediately after the procedure, the pregnancy outcome, and the fate of newborn babies. SETTING Academic cardiovascular cen...

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ژورنال

عنوان ژورنال: European Heart Journal

سال: 2013

ISSN: 1522-9645,0195-668X

DOI: 10.1093/eurheartj/eht097