Percutaneous double-balloon mitral valvotomy for rheumatic mitral-valve stenosis.
Percutaneous transatrial mitral valvotomy with a double-balloon technique produced striking symptomatic improvement in 7 of 9 patients with severe mitral stenosis. In 7 patients the mitral valve area (Gorlin formula) increased significantly and the mitral end-diastolic gradient fell significantly. Similar improvements were noted in follow-up haemodynamic studies at 6 weeks. There were no procedure-related complications. It is concluded that percutaneous double-balloon mitral valvotomy may be an alternative to surgical treatment for mitral stenosis.
Al Zaibag
M
M
Ribeiro
P A
PA
Al Kasab
S
S
Al Fagih
M R
MR
D000293:Adolescent; D000328:Adult; D000800:Angioplasty, Balloon / Q000379:methods*; D001794:Blood Pressure; D004452:Echocardiography; D005260:Female; D005500:Follow-Up Studies; D006439:Hemodynamics; D006493:Heparin / Q000008:administration & dosage; D006801:Humans; D007263:Infusions, Parenteral; D008297:Male; D008722:Methods; D008943:Mitral Valve / Q000503:physiopathology; D008946:Mitral Valve Stenosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D010701:Phonocardiography; D011292:Premedication; D012214:Rheumatic Heart Disease / Q000150:complications*; D014859:Warfarin / Q000008:administration & dosage
D014859:Warfarin; D006493:Heparin