PMID- 2917388
OWN - NLM
STAT- MEDLINE
DCOM- 19890406
LR  - 20190623
IS  - 0009-7322 (Print)
IS  - 0009-7322 (Linking)
VI  - 79
IP  - 3
DP  - 1989 Mar
TI  - Follow-up of patients undergoing percutaneous mitral balloon valvotomy. Analysis 
      of factors determining restenosis.
PG  - 573-9
AB  - This study reports the clinical follow-up (13 +/- 1 months) of 100 consecutive 
      patients who underwent percutaneous mitral balloon valvotomy (PMV). 
      Echocardiographic (n = 32) and cardiac catheterization (n = 37) data from this 
      group are also included. Patients were divided into two groups by an 
      echocardiographic score. PMV resulted in a good hemodynamic result (post-PMV 
      mitral valve area, greater than or equal to 1.5 cm2) in 88% of patients with a 
      score of 8 or less and 44% of patients with a score of more than 8. Eighty-eight 
      percent of patients with a score of 8 or less (n = 57) were New York Heart 
      Association (NYHA) functional Classes III and IV before PMV; at follow-up, 81% 
      were NYHA Class I and 12% were NYHA Class II. There were no deaths; three 
      patients underwent mitral valve replacement (MVR). Ninety-eight percent of 
      patients with a score of more than 8 (n = 43) were NYHA Classes III and IV before 
      PMV; at follow-up, 58% were NYHA Classes I and II. Seven patients who did not 
      improve and were not surgical candidates died 3.8 +/- 1.2 months after PMV. Nine 
      patients who were surgical candidates underwent elective MVR at 4 +/- 0.9 months 
      after PMV. Repeat cardiac catheterization demonstrated restenosis in only one of 
      27 patients (4%) with a score of 8 or less. Mitral valve area after PMV was 1.9 
      +/- 0.1 cm2 and at follow-up was 2 +/- 0.1 cm2 (NS).(ABSTRACT TRUNCATED AT 250 
      WORDS)
FAU - Palacios, I F
AU  - Palacios IF
AD  - Cardiac Unit Department of Medicine, Massachusetts General Hospital, Boston 
      02114.
FAU - Block, P C
AU  - Block PC
FAU - Wilkins, G T
AU  - Wilkins GT
FAU - Weyman, A E
AU  - Weyman AE
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Circulation
JT  - Circulation
JID - 0147763
SB  - IM
MH  - Atrial Fibrillation/complications
MH  - Cardiac Catheterization
MH  - *Catheterization
MH  - Echocardiography
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve Insufficiency/complications
MH  - Mitral Valve Stenosis/diagnosis/*therapy
MH  - Recurrence
MH  - Risk Factors
MH  - Statistics as Topic
MH  - Time Factors
EDAT- 1989/03/01 00:00
MHDA- 1989/03/01 00:01
CRDT- 1989/03/01 00:00
PHST- 1989/03/01 00:00 [pubmed]
PHST- 1989/03/01 00:01 [medline]
PHST- 1989/03/01 00:00 [entrez]
AID - 10.1161/01.cir.79.3.573 [doi]
PST - ppublish
SO  - Circulation. 1989 Mar;79(3):573-9. doi: 10.1161/01.cir.79.3.573.