Determination of mitral valve area through pressure half-time measurements in the left atrium and pulmonary capillary wedge.
OBJECTIVE
To confirm the validity of the calculation in MVA applying the method of Doppler pressure half-time directly in left atrial (LA) and pulmonary capillary pressure curve.


METHODS
Thirty-five patients with mitral valve stenosis underwent percutaneous mitral valvotomy (PMV) using the Cribier method with MVA measurement made using the traditional methods (Gorlin and echo-Doppler) and this propose. MVA values obtained were compared and a linear regression model was used to obtain formula for reciprocal calculations of the mitral valve area.


RESULTS
A statistically correlation was found between the calculated values by all methods. The proposed method showed a strong correlation (p< 0.05) with the others mainly before valve opening. Simple reciprocal calculation formulas were found for mitral valve area assessment.


CONCLUSIONS
The proposed method for the calculation of mitral valve area using LA or Cap proved to be highly accurate and simple making it possible to safely monitor valvotomy procedures.
Osterne
Evandro Cesar Vidal
EC
Hospital das Forças Armadas, Instituto do Coração de Taguatinga, DF, Brazil. osterne@cardiol.br
Haddad
Jorge
J
da Motta
Vicente Paulo
VP
da Motta
Paulo Antonio Marra
PA
Osterne
Thomas E C
TE
Osterne
Noeme M A C
NM
Gomes
Otoni M
OM
D000293:Adolescent; D000328:Adult; D016275:Atrial Function; D002404:Catheterization; D015150:Echocardiography, Doppler / Q000379:methods*; D005260:Female; D006801:Humans; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging*; D008946:Mitral Valve Stenosis / Q000000981:diagnostic imaging / Q000628:therapy*; D016343:Monitoring, Intraoperative / Q000379:methods; D011669:Pulmonary Wedge Pressure; D012720:Severity of Illness Index