PMID- 7867236
OWN - NLM
STAT- MEDLINE
DCOM- 19950330
LR  - 20190512
IS  - 0160-9289 (Print)
IS  - 0160-9289 (Linking)
VI  - 17
IP  - 12
DP  - 1994 Dec
TI  - Percutaneous transvenous mitral commissurotomy for restenosis after surgical 
      mitral valvotomy.
PG  - 648-51
AB  - Percutaneous transvenous mitral commissurotomy (PTMC) was performed in 350 
      patients. Of these patients, 51 (15%) (30 women and 21 men, aged 32 +/- 11 years) 
      had restenosis 11 +/- 4 years following surgical valvotomy. Forty (79%) patients 
      were in New York Heart Association (NYHA) class III and 11 (21%) were in class 
      IV. PTMC resulted in an increase in mitral valve area from 0.82 +/- 0.3 to 1.9 
      +/- 0.2 cm2 (p < 0.001), an increase in cardiac index from 1.9 +/- 0.4 to 2.8 +/- 
      0.5 l/min/m2 (p < 0.001), and a decrease in mean transmitral gradients from 29 
      +/- 4 to 6 +/- 4 mmHg (p < 0.001). The results did not differ from those observed 
      in 299 patients without prior surgical valvotomy. On univariate analysis, the 
      subvalvular fibrosis, assessed angiographically, and the duration from prior 
      surgery were not found to influence the overall outcome. At 24 weeks, 46 of 48 
      (96%) patients in whom clinical follow-up was available, were found to be in NYHA 
      class I and 2 (4%) patients were in class II. Thus, PTMC is a safe and effective 
      procedure for patients with mitral restenosis following surgical valvotomy.
FAU - Bahl, V K
AU  - Bahl VK
AD  - Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi.
FAU - Chandra, S
AU  - Chandra S
FAU - Talwar, K K
AU  - Talwar KK
FAU - Sharma, S
AU  - Sharma S
FAU - Kaul, U
AU  - Kaul U
FAU - Wasir, H S
AU  - Wasir HS
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - Clin Cardiol
JT  - Clinical cardiology
JID - 7903272
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Analysis of Variance
MH  - Cardiac Catheterization
MH  - *Catheterization/methods
MH  - Coronary Angiography
MH  - Female
MH  - Fibrosis
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Mitral Valve/diagnostic imaging/pathology
MH  - Mitral Valve Stenosis/surgery/*therapy
MH  - Recurrence
EDAT- 1994/12/01 00:00
MHDA- 1994/12/01 00:01
CRDT- 1994/12/01 00:00
PHST- 1994/12/01 00:00 [pubmed]
PHST- 1994/12/01 00:01 [medline]
PHST- 1994/12/01 00:00 [entrez]
AID - 10.1002/clc.4960171204 [doi]
PST - ppublish
SO  - Clin Cardiol. 1994 Dec;17(12):648-51. doi: 10.1002/clc.4960171204.