PMID- 2816699
OWN - NLM
STAT- MEDLINE
DCOM- 19891205
LR  - 20190626
IS  - 0002-8703 (Print)
IS  - 0002-8703 (Linking)
VI  - 118
IP  - 5 Pt 1
DP  - 1989 Nov
TI  - Percutaneous balloon mitral valvuloplasty in children and young adults with 
      rheumatic mitral stenosis.
PG  - 883-7
AB  - Twenty-eight patients with mitral stenosis, 17 females and 11 males, underwent 
      percutaneous balloon mitral valvuloplasty (BMV). The age range was 10 to 30 (mean 
      17.8 +/- 6.7) years and all were symptomatic (New York Heart Association [NYHA] 
      class III, 12 patients; class IV, 16 patients). BMV was done with a single 
      balloon in 10 patients and double balloon in 16 patients. Following BMV, there 
      was a significant reduction in transmitral end-diastolic pressure gradient from 
      23.1 +/- 5.8 to 7.6 +/- 4.2 mm Hg (p less than 0.001) and a significant increase 
      in mitral valve area from 1.06 +/- 0.29 to 2.64 +/- 1.35 cm2 (p less than 0.001), 
      along with an increase in cardiac index from 3.40 +/- 1.18 to 4.26 +/- 1.46 
      L/min/m2 (p less than 0.01). Improvement in symptomatic status by at least one 
      NYHA class was seen in all patients. Mild mitral regurgitation developed in four 
      and moderate mitral regurgitation developed in one patient. Angiographic evidence 
      of atrial septal defect was present in one patient. Follow-up at 8 to 12 weeks in 
      12 patients has shown sustained hemodynamic improvement. These short-term results 
      indicate that BMV is an effective nonsurgical procedure for the management of 
      patients with rheumatic mitral stenosis.
FAU - Arora, R
AU  - Arora R
AD  - Department of Cardiology, G.B. Pant Hospital, New Dehli, India.
FAU - Nair, M
AU  - Nair M
FAU - Rajagopal, S
AU  - Rajagopal S
FAU - Sethi, K K
AU  - Sethi KK
FAU - Mohan, J C
AU  - Mohan JC
FAU - Nigam, M
AU  - Nigam M
FAU - Khalilullah, M
AU  - Khalilullah M
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am Heart J
JT  - American heart journal
JID - 0370465
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Cardiovascular Diseases/etiology
MH  - *Catheterization
MH  - Cerebrovascular Disorders/etiology
MH  - Child
MH  - Evaluation Studies as Topic
MH  - Female
MH  - Hemodynamics
MH  - Humans
MH  - Male
MH  - Mitral Valve Stenosis/etiology/physiopathology/*therapy
MH  - Postoperative Complications
MH  - Postoperative Period
MH  - Rheumatic Diseases/*complications
MH  - Severity of Illness Index
EDAT- 1989/11/01 00:00
MHDA- 1989/11/01 00:01
CRDT- 1989/11/01 00:00
PHST- 1989/11/01 00:00 [pubmed]
PHST- 1989/11/01 00:01 [medline]
PHST- 1989/11/01 00:00 [entrez]
AID - 0002-8703(89)90218-4 [pii]
AID - 10.1016/0002-8703(89)90218-4 [doi]
PST - ppublish
SO  - Am Heart J. 1989 Nov;118(5 Pt 1):883-7. doi: 10.1016/0002-8703(89)90218-4.