Abstract
Almost all mitral stenosis (MS) is rheumatic in etiology. The patient with MS who is symptomatic despite medical therapy should undergo percutaneous mitral balloon valvuloplasty or mitral valvular surgery (commissurotomy or replacement). The choice of procedure is determined by patient preference and the echocardiographic morphologic features of the valvular and subvalvular apparati. With balloon valvuloplasty, the rate of success is > 90%. At institutions where operators are experienced with balloon valvuloplasty and open surgical commissurotomy, their acute and long- term results are comparable. Balloon valvuloplasty occasionally is associated with complications, including death in 0 to 1%, moderate or severe valvular regurgitation in 3 to 5%, and systemic embolization in 1 to 3%.
Original language | English (US) |
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Pages (from-to) | 501-503 |
Number of pages | 3 |
Journal | Clinical Cardiology |
Volume | 22 |
Issue number | 8 |
DOIs | |
State | Published - 1999 |
Externally published | Yes |
Keywords
- Double balloon technique
- Echocardiographic score
- Inoue balloon technique
- Mitral stenosis
- Rheumatic heart disease
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine