PMID- 14609306
OWN - NLM
STAT- MEDLINE
DCOM- 20040311
LR  - 20170511
IS  - 0001-5385 (Print)
IS  - 0001-5385 (Linking)
VI  - 58
IP  - 5
DP  - 2003 Oct
TI  - Influence of commissural calcification on the immediate outcomes of percutaneous 
      balloon mitral valvuloplasty.
PG  - 411-5
AB  - OBJECTIVES: To evaluate the impact of mild to moderate commissural calcification 
      on the immediate outcomes of percutaneous balloon mitral valvuloplasty (PBMV). 
      METHODS AND RESULTS: We analysed the results of 223 consecutive patients (mean 
      age 37.6 +/- 8.7 years) who underwent PBMV for rheumatic mitral stenosis. 
      Commissural calcification was identified with a two-dimensional echocardiography 
      (echo) in 65 (29.1%) patients with the severity of calcification being graded 
      from 0-3. The anatomy and function of the mitral valve were assessed byWilkins 
      echo score. In patients with no commissural calcification the increase in mitral 
      valve area after PBMV was 0.90 +/- 0.42 cm2, which was greater than the increase 
      in those with calcification grade 1 (0.83 +/- 0.42 cm2, p < 0.05), grade 2 (0.72 
      +/- 0.38 cm2, p < 0.05) and grade 3 (0.63 +/- 0.13 cm2, p < 0.05). In patients 
      with an echo score of < or = 8, the presence of commissural calcification was 
      associated with a smaller increase in mitral valve area (p < 0.05) and a smaller 
      reduction in New York Heart Association (NYHA) function class after PBMV (p < 
      0.05). In patients with an echo score of more than 8, commissural calcification 
      had no significant effect on the valve area increase and NYHA function class 
      reduction (p > 0.05). CONCLUSIONS: Commissural calcification has an adverse 
      effect on the clinical results of PBMV. Detailed pre-procedural assessment of 
      commissural calcification with echocardiography must be performed to provide 
      background information on the immediate outcomes of PBMV.
FAU - Wei, Tiemin
AU  - Wei T
AD  - Department of Cardiology, Lishui City Central Hospital, Zhejiang Province, 
      People's Republic of China.
FAU - Zeng, Chunlai
AU  - Zeng C
FAU - Chen, Fanghong
AU  - Chen F
FAU - Wang, Chunming
AU  - Wang C
FAU - Chen, Liping
AU  - Chen L
FAU - Chen, Qunying
AU  - Chen Q
FAU - Lan, Wenshenh
AU  - Lan W
FAU - Wang, Lexin
AU  - Wang L
LA  - eng
PT  - Journal Article
PL  - England
TA  - Acta Cardiol
JT  - Acta cardiologica
JID - 0370570
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Analysis of Variance
MH  - Calcinosis/complications/diagnostic imaging/*surgery
MH  - *Catheterization
MH  - Echocardiography
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve Stenosis/complications/diagnostic imaging/*surgery
MH  - Rheumatic Heart Disease/complications/diagnostic imaging/*surgery
MH  - Treatment Outcome
EDAT- 2003/11/12 05:00
MHDA- 2004/03/12 05:00
CRDT- 2003/11/12 05:00
PHST- 2003/11/12 05:00 [pubmed]
PHST- 2004/03/12 05:00 [medline]
PHST- 2003/11/12 05:00 [entrez]
AID - 10.2143/AC.58.5.2005305 [doi]
PST - ppublish
SO  - Acta Cardiol. 2003 Oct;58(5):411-5. doi: 10.2143/AC.58.5.2005305.