Percutaneous transvenous mitral commissurotomy using an Inoue balloon in children with rheumatic mitral stenosis

Joseph, Pulavelil Kurian; Bhat, Anil K.; Bessière, Francis; Sivasubramonian, Sivasankaran; Kumar, Alok; Pillai, Vivek; Titus, Thomas; Tharakan, Jagan Mohan; Balakrishnan, K.G.

doi:10.1016/s0167-5273(97)00188-5

Cited by 18 publications

(20 citation statements)

References 8 publications

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“…57 Questions on whether juvenile MS is a true variant of rheumatic MS remain to be answered. Several researchers have reported similar 58 or even better 59,60 success rates for PBMV in children with MS. Severe congenital MS is a rare mitral valve deformity with several anatomic subtypes: typical, supramitral mitral ring, parachute mitral valve, and double-orifice mitral valve.…”

Section: Children and Adolescentsmentioning

confidence: 89%

Percutaneous Balloon Mitral Valvuloplasty

et al. 2009

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Section: Children and Adolescentsmentioning

confidence: 89%

Percutaneous Balloon Mitral Valvuloplasty

et al. 2009

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“…One previous report from our hospital studied 59 children, age range 8-17 years, with MS who underwent PTMC during 1995-1998 [1]. Similarly, in a study from India, 107 children age 10-18 years with rheumatic MS underwent PTMC with excellent results [10]. On echocardiography, patients with rheumatic MS have thickened leaflets and commissural/chordal fusion resulting in the typical hockey-stick appearance of the anterior mitral leaflet.…”

Section: Case Reportmentioning

confidence: 98%

Percutaneous Transluminal Mitral Commissurotomy for Rheumatic Mitral Stenosis in a 5-Year-Old Child

et al. 2012

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We report a 5-year-old boy weighing 11 kg, with severe mitral valve stenosis of rheumatic aetiology, who underwent successful percutaneous transluminal mitral commissurotomy (PTMC) with valvuloplasty balloon. Postprocedural mean pressure gradient across the mitral valve decreased to 6 mmHg from an initially recorded value of 22 mmHg. In addition to symptomatic improvement, the mitral valvular area increased from 0.4 to 0.8 cm(2) without significant change in mitral regurgitation. At 1- and 3-month follow up, transthoracic echocardiography revealed further improvement with an increase in mitral valve area to 1.0 cm(2), a decrease in pulmonary arterial pressure, and a mean mitral valve pressure gradient of 8 mmHg with trivial mitral regurgitation. To best of our knowledge, this is the first successful PTMC procedure performed in the youngest and smallest ever reported child with rheumatic mitral stenosis (MS). We conclude that PTMC with valvuloplasty balloon could be a logical alternative to surgery in young patients with rheumatic MS.

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“…Although in children and adolescents with rheumatic mitral stenosis the immediate haemodynamic effects of MBV have been adequately documented, [1][2][3][4][5][6][7][8] there are few reports regarding the long term results of MBV in this age group. 9 10 The purpose of this study was to evaluate the immediate and long term (up to 13 years) results of MBV in patients 20 years old or younger and compare these results to those obtained in the adult population.…”

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confidence: 99%

Right ventricular outflow tract obstruction in an infant

Friedberg

2005

Heart

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Aims: To assess the safety, efficacy, and long term results of mitral balloon valvotomy (MBV) for rheumatic mitral stenosis in children and adolescents in comparison to adults. Methods: The results of 468 patients with mitral stenosis who underwent successful MBV and were followed up for 0.5-13 years were analysed. Patients were divided according to age at the time of MBV into group 1 consisting of 84 patients ( 20 years of age (children and adolescents) and group 2 that included 384 patients, age . 20 (adults). , and similar complication rates, compared to group 2. After a mean follow up of 5 (3.5) years there was no significant difference between groups 1 and 2 in the incidence of restenosis (14.3% v 16.1%, NS). Event-free survival rates at 5, 10, and 12.5 years were 93%, 79%, and 79% for group 1 and 94%, 90%, and 84% for group 2 (p = 0.18). Conclusions: MBV is safe and effective in children and adolescents with rheumatic mitral stenosis. It provides better immediate results than in adults and excellent long term results that are comparable to those seen in adults.

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Percutaneous transvenous mitral commissurotomy using an Inoue balloon in children with rheumatic mitral stenosis

Cited by 18 publications

References 8 publications

Percutaneous Balloon Mitral Valvuloplasty

Percutaneous Balloon Mitral Valvuloplasty

Percutaneous Transluminal Mitral Commissurotomy for Rheumatic Mitral Stenosis in a 5-Year-Old Child

Right ventricular outflow tract obstruction in an infant

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