Percutaneous Balloon Versus Surgical Closed and Open Mitral Commissurotomy

Abstract

In contrast to surgical CMC, BMC and OMC produce excellent and comparable early hemodynamic improvement and are associated with a lower rate of residual stenosis and restenosis and need for reintervention. However, the good results, lower cost, and elimination of drawbacks of thoracotomy and cardiopulmonary bypass indicate that BMC should be the treatment of choice for patients with tight pliable rheumatic MS.

Resultados a largo plazo de la valvuloplastía mitral con balón

“…Su efectividad, en cuanto a la magnitud de dilatación valvular, se correlaciona con el grado de alteración anatómica de la válvula 3 , y los resultados inmediatos son similares a los obtenidos con la comisurotomía quirúrgica cerrada 4 o abierta 5 , pero con menor morbilidad 6 . Del mismo modo, a mediano plazo existe evidencia de sus resultados favorables, con baja mortalidad y más de la mitad de los pacientes libres de eventos 7 .…”

A Novel Technique for Multi-Track Percutaneous Balloon Mitral Valvoplasty

“…1,[3][4][5][6] There are currently 2 main techniques for PBMV: balloon commissurotomy and metallic commissurotomy. In balloon commissurotomy, the 2 main modalities are the double-balloon technique and the Inoue technique.…”

“…(Int Heart J 2013; 54: 196-201) Key words: Inoue, Endhole, Rheumatic, Stenosis R heumatic mitral valve stenosis remains an important public health concern in developed countries. 1) When there is favorable mitral valve anatomy, percutaneous balloon mitral valvoplasty (PBMV) has become the treatment of choice for severe pliable rheumatic mitral stenosis.2) With increasing experience and better selection of patients, the immediate results of the procedure have improved, and the rate of complications has declined.2) Several randomized trials reported similar hemodynamic results with PBMV and surgical commissurotomy.1, [3][4][5][6] There are currently 2 main techniques for PBMV: balloon commissurotomy and metallic commissurotomy. In balloon commissurotomy, the 2 main modalities are the double-balloon technique and the Inoue technique.…”

Successful Percutaneous Mitral Valve Balloon Valvuloplasty during Third Trimester

“…1 Rheumatic mitral stenosis forms around 88% of the heart diseases complicating pregnancy in the tertiary referral centers in India, and it is also a frequent cause of maternal death. 2 It is a progressive disease that leads to heart failure and is finally fatal unless mechanical intervention enlarges the mitral valve orifice to permit adequate cardiac output.…”