PMID- 8984957
OWN - NLM
STAT- MEDLINE
DCOM- 19970103
LR  - 20161124
IS  - 0020-3785 (Print)
VI  - 66
IP  - 4
DP  - 1996 Jul-Aug
TI  - [Percutaneous mitral commissurotomy using Inoue's balloon during pregnancy].
PG  - 350-5
AB  - The authors present three cases of pregnant women with symptomatic severe mitral 
      stenosis with a mean age of 28.6 +/- 2.3 years, and during 27.6 +/- 1.52 weeks of 
      pregnancy. Two patients were in class III and one in class IV of the New York 
      Heart Association (NYHA). All patients had a mitral valvular area equal or less 
      than 1 cm2, with a Wilkins score of 7 to 9 and mitral insufficiency grade I in 
      two cases; two, had severe pulmonary arterial hypertension (mean > 50 mm Hg). 
      After Percutaneous Mitral Valvuloplasty (PMV) the mitral valve measured by 2D 
      echocardiography increased form 0.83 +/- 0.2 cm2 to 1.8 +/- 0.15 cm2; the mean 
      transmitral gradient diminished from 13 +/- 3.4 mm Hg to 3.6 +/- 1.15 mm Hg; the 
      degree of mitral insufficiency was no modified in neither case. Hemodynamic 
      results revealed increasing of the mitral valve from 0.83 +/- 0.18 cm2 to 2.23 
      +/- 0.3 cm2; the mean mitral gradient decreased from 21.6 +/- 9 to 4.3 +/- 0.5 mm 
      Hg; the mean left atrial pressure from 30 +/- 12 to 12.3 +/- 4 mm Hg; the mean 
      pressure of the pulmonary artery diminished suddenly from 44.3 +/- 16 to 25.6 +/- 
      11 mm Hg. The average fluoroscopic time was 15.3 +/- 3 minutes. There were no 
      complications. The patients were discharged 48 hours after the procedure and 
      continued their pregnancies in class I NYHA, which resolved in a non complicated 
      vaginal delivery with normal products. We conclude that PMV is a safe and useful 
      therapy in pregnant patient with severe mitral stenosis refractory to medical 
      treatment.
FAU - Murillo, H
AU  - Murillo H
AD  - Division de Cardiologia, Hospital de Especialidades, Centro Medico La Raza, IMSS, 
      Mexico, D.F.
FAU - Ayala, F
AU  - Ayala F
FAU - Badui, E
AU  - Badui E
FAU - Almazan, A
AU  - Almazan A
FAU - Solorio, S
AU  - Solorio S
FAU - Enciso, R
AU  - Enciso R
FAU - Madrid, R
AU  - Madrid R
FAU - Lepe, L
AU  - Lepe L
FAU - Rangel Abundis, A
AU  - Rangel Abundis A
FAU - Chavez, E
AU  - Chavez E
LA  - spa
PT  - Case Reports
PT  - Journal Article
TT  - Comisurotomia mitral percutanea con balon de Inoue durante el embarazo.
PL  - Mexico
TA  - Arch Inst Cardiol Mex
JT  - Archivos del Instituto de Cardiologia de Mexico
JID - 0400463
SB  - IM
MH  - Adult
MH  - Catheter Ablation/*methods
MH  - Catheterization/*methods
MH  - Echocardiography
MH  - Female
MH  - Humans
MH  - Mitral Valve Stenosis/diagnostic imaging/*surgery
MH  - Pregnancy
MH  - Pregnancy Complications, Cardiovascular/diagnostic imaging/*surgery
EDAT- 1996/07/01 00:00
MHDA- 1996/07/01 00:01
CRDT- 1996/07/01 00:00
PHST- 1996/07/01 00:00 [pubmed]
PHST- 1996/07/01 00:01 [medline]
PHST- 1996/07/01 00:00 [entrez]
PST - ppublish
SO  - Arch Inst Cardiol Mex. 1996 Jul-Aug;66(4):350-5.