Percutaneous transmitral commissurotomy in juvenile mitral stenosis—comparison of long term results of Inoue balloon technique and metallic commissurotomy

Harikrishnan, S.; Nair, Krishnakumar; Tharakan, Jaganmohan; Titus, Thomas; Kumar, Vijay; Sivasubramonian, Sivasankaran

doi:10.1002/ccd.20666

Cited by 6 publications

(4 citation statements)

References 32 publications

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“…This difference is probably related to the more favorable mitral valve morphology in the young as demonstrated by their lower mitral echo score. These findings are comparable to those reported by other investigators 2–11 …”

Section: Discussionsupporting

confidence: 93%

“…It continues, nonetheless, to be the commonest cause of acquired heart disease in children of most developing countries 11,16 . Several studies have described the salutary immediate and midterm hemodynamic results of MBV in children with MS 1–11 . However, there is paucity of data on long‐term results 12 .…”

Section: Discussionmentioning

confidence: 99%

“…Mitral balloon valvuloplasty (MBV) is an established nonsurgical modality for the treatment of severe rheumatic mitral stenosis (MS). Although numerous studies have documented favorable immediate and intermediate follow‐up results of MBV in children, 1–11 there is paucity of data on long‐term outcome of MBV in this age group 12 . The purpose of this study was to evaluate the long‐term (up to 18 years) clinical and echocardiographic follow‐up results of MBV in children and compare these results to those observed in the adult population and also identify predictors of long‐term outcome.…”

Section: Introductionmentioning

confidence: 99%

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Long‐Term (Up to 18 Years) Clinical and Echocardiographic Results of Mitral Balloon Valvuloplasty in Children in Comparison with Adult Population

Fawzy

Stefadouros

Amraoui

et al. 2008

J Interven Cardiology

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Long‐Term (Up to 18 Years) Clinical and Echocardiographic Results of Mitral Balloon Valvuloplasty in Children in Comparison with Adult Population

Fawzy

Stefadouros

Amraoui

et al. 2008

J Interven Cardiology

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“…Some of the published series on the results of BMV in young adults are shown in Table 1. [18][19][20][21][22][23][24][25] Table 2 describes three series of BMV in very young children. [26][27][28] A case report from India describes successful BMV in a four-year-old child with MS secondary to RHD.…”

Section: Immediate Resultsmentioning

confidence: 99%

Catheter Interventions for Mitral Stenosis in Children

Saxena

2015

World J Pediatr Congenit Heart Surg

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Stenosis of the mitral valve most often occurs as a result of chronic rheumatic heart disease, causing thickening and fibrosis of the mitral valve apparatus. Rheumatic heart disease continues to be a major public health problem in several developing countries and mitral stenosis is also common in these regions. According to the reports from India and Africa, the disease tends to follow a rapidly progressive course in children. The treatment of choice is balloon dilatation of the mitral valve. Echocardiography is indispensable for this procedure. Before planning the procedure, it is essential to assess the suitability of balloon dilatation. Echocardiography performed during the procedure helps to decide whether the size of the balloon needs to be increased in case of inadequate relief of stenosis. Most published series have reported an immediate success rate of over 90% with balloon dilatation in children and young adults. With an increase in mitral valve area and improvement in functional class, the left atrial pressure and the transmitral gradients fall. These gratifying results are also reported from very young children of less than 12 years of age. It is recommended to start with a smaller balloon size and increase its size in a stepwise fashion to minimize complications. The complications, seen in about 1% to 2% of cases, include development of significant mitral regurgitation and hemopericardium, secondary to cardiac chamber perforation. The long-term results indicate slightly higher restenosis rates in children than in adults. Most children with restenosis can undergo successful repeat dilatation.

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