[Percutaneous mitral commissurotomy. 5-year results].
Long-term results of percutaneous mitral commissurotomy were evaluated in 410 patients with mean age of 31 years (18 to 68 years). 48% of patients had mean thickened leaflets, 35% had calcified valves and 17% had flexible leaflets and subvalvular apparatus. Procedure was performed with a double balloon in 57% and with Inoue's balloon in 43% patients. A good immediate results was obtained in 77% of patients. A good result was defined as a mitral valve area > or = 1.5 cm2 without mitral regurgitation. Clinical follow-up concern 378 patients. The actuarial 5 years rate were 84% in our serie, without surgery or new percutaneous mitral commissurotomy and good functional results (NYHA class I or II) were 71%. Valvular anatomy, immediate results (mitral valve area), history of mitral commissurotomy, old patients, atrial fibrillation can influence strongly the results.
Ben Youssef
S
S
Service de cardiologie, Hôpital de Sfax, Tunisie.
Hentati
M
M
Grati
Z
Z
Kassis
M
M
Trabelsi
I
I
Ould Bah
A
A
Kamoun
H
H
Mnif
S
S
Fendri
S
S
Daoud
M
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D002404:Catheterization / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency; D008946:Mitral Valve Stenosis / Q000473:pathology / Q000601:surgery*; D011379:Prognosis; D016019:Survival Analysis