Mitral stenosis and percutaneous mitral valvuloplasty (part 1).
Although the incidence and severity of rheumatic mitral stenosis have declined in developed countries, the disease is still highly prevalent in many of the poorer and most densely populated areas of the globe, remaining a major public health issue and reflecting the socioeconomic status of the region. In the last 30 years, mitral stenosis therapy has undergone a reorientation with the introduction of percutaneous mitral valvuloplasty. This manuscript is an updated review of percutaneous dilation of mitral stenosis in its different aspects, encompassing traditional techniques, technical innovations, the most significant case loads worldwide, an analysis of the procedure as well as immediate and late outcomes.
Interventional Cardiology Department, Hospital Evangelico de Curitiba, R. Bom Jesus, 43/02, Curitiba, Brazil 80035-010. eguerios@bbs2.sul.com.br
Enio E
EE
Guérios
Ronaldo
R
Bueno
Deborah
D
Nercolini
José
J
Tarastchuk
Paulo
P
Andrade
Alvaro
A
Pacheco
Alysson
A
Faidiga
Stefan
S
Negrao
Antonio
A
Barbosa
D006328:Cardiac Catheterization; D002404:Catheterization / Q000379:methods*; D006801:Humans; D008943:Mitral Valve / Q000473:pathology*; D008946:Mitral Valve Stenosis / Q000628:therapy*