OUTCOME OF MITRAL COMMISSUROTOMY

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DEHGHANI M.; MOHABATI M.; FAL SOLEYMAN H.

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Journal: MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES Year:2004 | Volume:47 | Issue:84 Page(s): 126-135

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Title

OUTCOME OF MITRAL COMMISSUROTOMY

Author(s)

DEHGHANI M. | MOHABATI M. | FAL SOLEYMAN H. | Issue Writer Certificate

Keywords

MITRAL STENOSISQ4

PERCUTANEOUS MITRAL COMMISSUROTOMY (PMC)Q4

INOUE BALLONQ4

Abstract

Introduction: MITRAL STENOSIS is one of the most common causes of valvular heart disease in developing countries. Until the first publication by Inoue and Co-workers on percutaneous mitral commissurotomy (PMC) in 1984, surgery was the only satisfactory treatment for patients with MITRAL STENOSIS. Despite worldwide use, this technique has recently been started in Mashhad and its immediate and midterm results of the first 218 patients are going to be reported.Method and Material: Form 1988 to 2003, this descriptive study was done in Ghaem Hospital of Mashhad.The intervention was performed on fasting 218 patients with light sedation. After left and right heart catheterization, interatrial septostomy, septostomy and PMC was done via right femoral vein, by using a standard brockenbrough needle, a mullin sheat, dilator, spiral guide wire and Inoue balloon.Result: PMC was successfully performed on 213 (97.76%) of 218 cases with severe MS.The mean left atrial pressure decreased from 24.3±6.5 mmHg to 12.1±5.4 mmHg.The mean gradient at the mitral valve level also decreased from 15.9±5 mmHg to 2.4±2.1 mmHg.The mean mitral valve area increased from 0.88± 0.17cm2 to 1.99 ±0.25cm2. Mitral regurgitation increased by 1 grade in 56 cases and 2 grades in 11patients. 3 patients developed 3 grades of mitral regurgitation. No patient showed 4 grades of mitral regurgitation.One direction variance analysis showed that there is a statistically significant reverse relationship between age (P<0.0001) of patients and increment of mitral valve area after PMC.In addition, this study showed a significant relationship between functional class of patients (P<0.001) and increment of mitral valve area after using this Procedure.There were not any relationships between age (P=0.06), sex (P=0.890), cardiac rhythm (P=0.632), functional class (P=0.458) of these patients, and the induction or changes in severity of mitral regurgitation after PMC.Conclusion: In spite of some limitations in using the devices, the immediate and midterm results obtained from this study like other researches shows that PMC is a safe, effective and choice method in the treatment of the patients with MITRAL STENOSIS. In contrary to the other reports, thise study has also suggested that, there is a significant relationship between functional class of patients and in increment of mitral valve area after PMC.

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APA: Copy

DEHGHANI, M., MOHABATI, M., & FAL SOLEYMAN, H.. (2004). OUTCOME OF MITRAL COMMISSUROTOMY. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, 47(84), 126-135. SID. https://sid.ir/paper/51992/en

Vancouver: Copy

DEHGHANI M., MOHABATI M., FAL SOLEYMAN H.. OUTCOME OF MITRAL COMMISSUROTOMY. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2004;47(84):126-135. Available from: https://sid.ir/paper/51992/en

IEEE: Copy

M. DEHGHANI, M. MOHABATI, and H. FAL SOLEYMAN, “OUTCOME OF MITRAL COMMISSUROTOMY,” MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, vol. 47, no. 84, pp. 126–135, 2004, [Online]. Available: https://sid.ir/paper/51992/en

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