Feasibility, safety, and morphologic predictors of outcome of repeat percutaneous balloon mitral commissurotomy.
Early and mid-term results of repeat percutaneous balloon mitral commissurotomy (PBMC) were analyzed in 35 patients with symptomatic valvular restenosis: 12 patients (34%) after first successful PBMC and 23 patients (66%) after successful surgical closed mitral commissurotomy. Twenty-one patients had bilateral fused commissures, and 14 patients had unilateral or bilateral split commissures. Mitral valve area gain was significantly greater in the group with fused commissures compared with the group with split commissures (0.6 +/- 0.2 vs 0.3 +/- 0.2 cm(2), respectively, p = 0.04).
Turgeman
Yoav
Y
Department of Cardiology, Ha'Emek Medical Center, Afula, Israel. yoav_t@clalit.org.il <yoav_t@clalit.org.il>
Atar
Shaul
S
Suleiman
Khalid
K
Feldman
Alexander
A
Bloch
Lev
L
Jabaren
Mohamed
M
Rosenfeld
Tiberio
T
D000328:Adult; D006348:Cardiac Surgical Procedures / Q000009:adverse effects* / Q000379:methods*; D002404:Catheterization / Q000009:adverse effects* / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000033:anatomy & histology / Q000473:pathology; D008946:Mitral Valve Stenosis / Q000601:surgery*; D011379:Prognosis; D012086:Reoperation; D012307:Risk Factors; D016896:Treatment Outcome