Abstract Funding Acknowledgements Type of funding sources: None. Background. Symptomatic rheumatic mitral stenosis (MS) results in elevation left atrial (LA) pressure that is passively transmitted to derange pulmonary hemodynamics and subsequently elevate right ventricular afterload. We studied associations between LA reservoir strain ratio (LA-RAs) invasive addition the ratio’s ability identif...

In this modern era of management of various cardiovascular disorders, surgical therapy has virtually always preceded the development of percutaneous techniques. This has been the case with myocardial revascularization (aortocoronary bypass surgery vs. angioplasty), procedures for mitral stenosis (surgical commissurotomy vs. balloon valvuloplasty) as well as for the management of certain congeni...

PURPOSE To compare immediate and late (12 months) follow-up of clinical and Doppler echocardiographic results between percutaneous mitral balloon valvuloplasty and open commissurotomy in a prospective and randomized trial. METHODS Eighty eight symptomatic patients with severe mitral stenosis and favorable anatomy were randomized in a prospective trial comparing the two procedures. All patient...

Commissural fusion is now recognised as the principal pathology underlying mitral stenosis, and commissural splitting underlies successful interventional treatment. Although the technique of surgical commissurotomy was first described as early as 1948, percutaneous commissurotomy became a feasible option with the advent of the Inoue balloon in 1984. Percutaneous balloon mitral valvuloplasty (PB...

OBJECTIVE To know the predictors of a successful outcome of percutaneous transvenous mitral commissurotomy (PTMC) other than described in the Wilkins scoring system. METHODS Two hundred fifty-eight consecutive patients were enrolled for this observational study in a tertiary care heart center of Pakistan who had a Wilkins score of ≤ 8. Patients with more than mild mitral regurgitation (MR) or...

Background. Mitral restenosis after surgical mitral commissurotomy often occurs within 5-15 years, necessitating a repeat procedure. Balloon mitral commissurotomy (BMC) has been advocated as an alternative to repeat surgery for mitral restenosis. Methods and Results. The purposes of this study are to determine the shortand intermediate-term outcomes of patients undergoing BMC after previous sur...