PMID- 8322655
OWN - NLM
STAT- MEDLINE
DCOM- 19930803
LR  - 20190626
IS  - 0002-8703 (Print)
IS  - 0002-8703 (Linking)
VI  - 126
IP  - 1
DP  - 1993 Jul
TI  - Mitral restenosis and mitral regurgitation 1 year after Inoue mitral balloon 
      valvotomy in a population of patients with pliable mitral valve stenosis.
PG  - 136-40
AB  - To determine the rate of mitral restenosis and mitral regurgitation increase 1 
      year after mitral valvotomy using the Inoue balloon catheter, 66 consecutive 
      patients with severe, pliable mitral stenosis had their mitral valve area (MVA) 
      calculated by two-dimensional echocardiography (2DE) and Doppler before, 
      immediately after balloon valvotomy, and at 1-year follow-up. Color Doppler 
      studies were also done to detect small atrial septal defects (ASDs) and mitral 
      regurgitation. The mean age of the patients was 31 +/- 12 years. Three patients 
      were in New York Heart Association (NYHA) class II and 63 patients were in NYHA 
      class III to IV. Sixty-two of the 66 patients had an echo score (Boston) of < or 
      = 8. After Inoue balloon valvotomy (IBV), the MVA (2DE) increased from 0.8 +/- 
      0.2 to 1.9 +/- 0.3 cm2 (p < 0.001), and the Doppler MVA increased from 0.8 +/- 
      0.2 to 1.8 +/- 0.3 cm2 (p < 0.001). We detected 4 of 66 cases (6%) with 
      significant residual mitral stenosis (MVA < 1.5 cm2). Mitral regurgitation 
      increased in 14 of 66 patients (21%), but no patient developed severe mitral 
      regurgitation. Fourteen out of 66 patients (20%) had ASDs that were detected on 
      color Doppler. At 1-year follow-up the mean Doppler MVA was maintained at 1.8 +/- 
      0.4 cm2, with 6 of 66 patients (9%) exhibiting significant mitral valve 
      restenosis. Residual significant mitral stenosis must be differentiated from 
      mitral restenosis.(ABSTRACT TRUNCATED AT 250 WORDS)
FAU - Ribeiro, P A
AU  - Ribeiro PA
AD  - King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
FAU - Fawzy, M E
AU  - Fawzy ME
FAU - Mimish, L
AU  - Mimish L
FAU - Awad, M
AU  - Awad M
FAU - Dunn, B E
AU  - Dunn BE
FAU - Arafah, M R
AU  - Arafah MR
FAU - Duran, C G
AU  - Duran CG
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Am Heart J
JT  - American heart journal
JID - 0370465
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Catheterization/*adverse effects/instrumentation
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Atria/pathology
MH  - Heart Septum/pathology
MH  - Humans
MH  - Iatrogenic Disease/epidemiology
MH  - Incidence
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve Insufficiency/*etiology
MH  - Mitral Valve Stenosis/*therapy
MH  - Prospective Studies
MH  - Recurrence
EDAT- 1993/07/01 00:00
MHDA- 1993/07/01 00:01
CRDT- 1993/07/01 00:00
PHST- 1993/07/01 00:00 [pubmed]
PHST- 1993/07/01 00:01 [medline]
PHST- 1993/07/01 00:00 [entrez]
AID - S0002-8703(07)80020-2 [pii]
AID - 10.1016/s0002-8703(07)80020-2 [doi]
PST - ppublish
SO  - Am Heart J. 1993 Jul;126(1):136-40. doi: 10.1016/s0002-8703(07)80020-2.