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 analyze immediate and midterm results of percutaneous mitral valvotomy (PMV) in patients ≤ 18 year, a single centre experience of Sohag university hospital. Methods: Between May 2010 and May 2012, 64 procedures of Inoue technique mitral valvotomy were performed on 64 patients. The mean age was 15.8 ± 2.2 years; 75% were females. Results: Success was obtained in 96.8% of patients. ...

Belcher, J. R. (1973). Thorax, 28, 608-612. Conservative approach to the treatment of mixed mitral valve disease. One hundred patients with mixed mitral valve disease have been treated with the 'stand-by' bypass principle. In 59 the valve was replaced; in 41 a closed transventricular valvotomy was done. The results in the two groups have been compared. The operative mortality for valvotomy was ...

The results of transventricular mitral valvotomy in 50 cases of heavily calcified mitral stenosis are presented. The mortality and quality of results in patients undergoing a first valvotomy were more satisfactory than in patients undergoing a second operation. Associated mitral incompetence has an adverse effect on the results, particularly after a second operation. As a result, it is suggeste...

OBJECTIVES This study sought to assess late functional results after successful percutaneous mitral commissurotomy and to determine their predictors. BACKGROUND Few studies have reported late results of percutaneous mitral commissurotomy or have analyzed their late results regardless of immediate results, despite the fact that late deterioration may well be related either to a decrease in val...

Percutaneous mitral balloon valvuloplasty (PMBV) was initially described by Inoue in 1984 as a novel percutaneous technique for the management of mitral stenosis. Intracardiac echocardiography was initially used in the 1980s but was not universally accepted due to its high-frequency transducers and problems with steerability and manipulation. In the 1990s technical improvements led to more gene...

BACKGROUND Exertional dyspnoea is a limiting symptom in many patients with mitral stenosis but its causes remain incompletely understood. Ventilation during exercise is abnormal in chronic heart failure of all causes and there is increased ventilatory cost of carbon dioxide production. PATIENTS 23 patients with rheumatic mitral stenosis undergoing percutaneous balloon dilatation of the mitral...