2,258 results match your criteria Mitral Valvuloplasty


Comparison of early and long-term follow-up results of percutaneous mitral balloon valvuloplasty and mitral valve replacement.

Rev Assoc Med Bras (1992) 2021 Jan;67(1):58-63

Florence Nightingale Şişli Hospital - Istanbul, Turkey.

Background: Percutaneous mitral balloon valvuloplasty and mitral valve replacement have been the treatment options for mitral stenosis for several years, however, studies that compare these two modalities are very rare in the literature.

Objective: In this article, we aim to investigate the comparison of clinical results of percutaneous mitral balloon valvuloplasty and mitral valve replacement.

Methods: 527 patients with rheumatic mitral stenosis, treated with percutaneous mitral balloon valvuloplasty or mitral valve replacement (276 patients with percutaneous mitral balloon valvuloplasty and 251 patients with mitral valve replacement) from 1991 to 2012 were evaluated. Read More

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January 2021

Left Ventricular Remodeling Following Balloon Mitral Valvuloplasty in Rheumatic Mitral Stenosis: Magnetic Resonance Imaging Study.

Front Cardiovasc Med 2021 4;8:674435. Epub 2021 Jun 4.

Magdi Yacoub Heart Foundation-Aswan Heart Centre, Cairo, Egypt.

Rheumatic heart disease affects primarily cardiac valves, it could involve the myocardium either primarily or secondary to heart valve affection. The influence of balloon mitral valvuloplasty (BMV) on left ventricular function has not been sufficiently studied. To determine the influence of balloon mitral valvuloplasty (BMV) on both global and regional left ventricular (LV) function. Read More

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[Short- and mid-term outcomes of percutaneous balloon mitral valvuloplasty under the guidance of ultrasound].

Zhonghua Yi Xue Za Zhi 2021 Jun;101(22):1690-1694

Structural Heart Disease Center, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100037, China.

To evaluate the safety, short- and mid-term outcomes of percutaneous balloon mitral valvuloplasty (PBMV) guided by the ultrasound. In this retrospective study, medical data of 15 patients [9 males and 6 females, with an age of (53±13) years] with PBMV under the guidance of ultrasound in Heart Center of Henan Provincial People's Hospital between December 2016 and January 2019 were collected and reviewed. The short-and mid-term outcomes were analyzed. Read More

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The assessment of mitral valve disease: a guideline from the British Society of Echocardiography.

Echo Res Pract 2021 May 1. Epub 2021 May 1.

B Rana, Cardiology, Hammersmith Hospitals NHS Trust, London, United Kingdom of Great Britain and Northern Ireland.

Mitral valve disease is common. Mitral regurgitation is the second most frequent indication for valve surgery in Europe and despite the decline of rheumatic fever in western societies, mitral stenosis of any aetiology is a regular finding in all echo departments. Mitral valve disease is therefore one of the most common pathologies encountered by echocardiographers, as both a primary indication for echocardiography and a secondary finding when investigating other cardiovascular disease processes. Read More

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Successful surgical treatment approach for mitral valve vegetation of infective endocarditis after severe soft tissue infection with mediastinitis.

Clin Case Rep 2021 May 15;9(5):e04209. Epub 2021 May 15.

Department of Traumatology and Critical Care Medicine Graduate School of Medicine Osaka City University Osaka Japan.

Transesophageal echocardiography is mandatory if you do suspect infective endocarditis. By approaching via a small right thoracotomy, vegetectomy and mitral valvuloplasty following severe mediastinitis were successfully accomplished without any complications. Read More

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Fetal growth of left-sided structures and postnatal surgical outcomes in the "borderline" left heart varies by cardiac phenotype.

Ultrasound Obstet Gynecol 2021 May 16. Epub 2021 May 16.

Texas Children's Hospital, Department of Pediatrics.

Objectives: Two "borderline" left heart phenotypes are evident in the fetus: 1) severe aortic stenosis (AS), which is associated with a globular left ventricle (LV), systolic LV dysfunction, and LV growth arrest, and 2) left heart hypoplasia (LHH) which is associated with a "long, skinny" LV, laminar flow across hypoplastic mitral and aortic valves, and arch hypoplasia. Both phenotypes may be counseled for possible single ventricle palliation. We aimed to compare the rates left sided structure growth and Z-score change over gestation by phenotype. Read More

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Left ventricular systolic function impairment in children after balloon valvuloplasty for congenital aortic stenosis assessed by 2D speckle tracking echocardiography.

PLoS One 2021 29;16(4):e0248862. Epub 2021 Apr 29.

Department of Paediatric Cardiology and General Paediatrics, Medical University of Warsaw, Warsaw, Poland.

Aims: The aim of the study was to evaluate left ventricular (LV) remodeling and systolic function using two-dimensional speckle tracking echocardiographic (2D STE) imaging in children at a long-term (more than 36 months, 107.5±57.8 months) after balloon valvuloplasty for aortic stenosis (BAV). Read More

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Open-heart techniques and mitral valve plasty for mitral regurgitation in toy- and small-breed dogs: A review.

Open Vet J 2021 Jan-Mar;11(1):14-26. Epub 2021 Jan 11.

Cardiac Surgery Team, Chayagasaka Animal Hospital, Nagoya, Japan.

In human medicine, in the past, open-heart techniques for low-bodyweight children and newborn babies with congenital heart disease were more difficult than high-bodyweight adults. In toy- and small-breed dogs with mitral regurgitation (MR), an acquired heart disease, these techniques are more difficult to perform than for congenital heart diseases in young medium-sized or large dogs because of old age and low body weight. Therefore, improved open-heart techniques and mitral valve surgery for severe MR in older toy- and small-breed dogs are essential. Read More

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January 2021

Efficacy and safety of percutaneous mitral balloon valvotomy in patients with mitral stenosis: A systematic review and meta-analysis.

Int J Cardiol Heart Vasc 2021 Apr 1;33:100765. Epub 2021 Apr 1.

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.

Aims: Percutaneous mitral balloon valvotomy PMBV is an acceptable alternative to Mitral valve surgery for patients with mitral stenosis. The purpose of this study was to explore the immediate results of PMBV with respect to echocardiographic changes, outcomes, and complications, using a -analysis approach.

Methods: MEDLINE, and EMBASE databases were searched (01/2012 to 10/2018) for original research articles regarding the efficacy and safety of PMBV. Read More

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Surgical and percutaneous management of Aboriginal Australians with rheumatic heart disease: Timeliness and concordance between practice and guidelines.

Int J Cardiol 2021 Jul 18;335:80-84. Epub 2021 Apr 18.

Aboriginal Health Equity Theme, South Australian Health and Medical Research Institute, Adelaide, Australia; Adelaide Medical School, The University of Adelaide, Adelaide, Australia.

Background: Rheumatic heart disease (RHD) affects over 40 million people globally who are predominantly young and from impoverished communities. The barriers to valvular intervention are complex and contribute to the high morbidity and mortality associated with RHD. The rates of guideline indicated intervention in patients with significant RHD have not yet been reported. Read More

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Totally endoscopic mitral valve surgery: early experience in 188 patients.

J Cardiothorac Surg 2021 Apr 17;16(1):91. Epub 2021 Apr 17.

Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, 350001, People's Republic of China.

Introduction: Totally endoscopic technique has been widely used in cardiac surgery, and minimally invasive totally endoscopic mitral valve surgery has been developed as an alternative to median sternotomy for many patients with mitral valve disease. In this study, we describe our experience about a modified minimally invasive totally endoscopic mitral valve surgery and reported the preliminary results of totally endoscopic mitral valve surgery. The aim of this retrospective study is to evaluate the results of totally endoscopic technique in mitral valve surgery. Read More

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[Prosthetic repair of aortic valve cusps with autopericardium in children. State of the art and prospects].

Angiol Sosud Khir 2021 ;27(1):191-198

Department of Hospital Surgery of the Medical Faculty, I.M. Sechenov First Moscow Medical University of the RF Ministry of Public Health, Moscow, Russia; Institute of Cardioaortic Surgery, Petrovsky National Research Centre of Surgery, Moscow, Russia.

According to the results of modern researchers, the main techniques used in congenital pathology of the aortic valve in children include balloon catheter dilatation of the aortic valve, surgical valvuloplasty, the Ross procedure and replacement of the aortic valve with a mechanical prosthesis. Many surgeons point out that these techniques in congenital pathology of the aortic valve yield suboptimal results. This is often due to the lack of a clear-cut definition between surgeons as to what operation should be performed in a particular age group. Read More

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Infective endocarditis - why should rheumatologists be aware?

Acta Reumatol Port 2021 Jan-Mar;46(1):77-81

Centro Hospitalar de Vila Nova de Gaia e Espinho.

Infective endocarditis has a wide range of clinical manifestations, making the diagnosis complex. Musculoskeletal symptoms whose prevalence is not negligible are often underestimated. This clinical case is about a 44-year-old female patient with previous aortic and mitral valvuloplasty for rheumatic fever valve disease referred to the outpatient Rheumatology department for the migratory onset of pain and swelling of the left lateral malleolus, right wrist, right first finger and left fifth distal phalanx associated with painful punctate lesions of the digital pulps and lateral edge of the feet and migratory and painful erythematous papules lasting for three months. Read More

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Clinical and echocardiographic trends in percutaneous balloon mitral valvuloplasty.

J Cardiothorac Surg 2021 Apr 1;16(1):68. Epub 2021 Apr 1.

Heart Institute, Emek Medical Center, 21 Yitzhak Rabin Boulevard, 18101, Afula, Israel.

Background: The prevalence of Rheumatic Mitral Stenosis (MS) has significantly changed over the last decades. We intend to examine patient demographics, Echocardiographic characteristics, procedural success rates, and complications throughout 30-years.

Methods: We conducted a single-center descriptive observational study. Read More

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A new over-the-wire percutaneous mitral balloon valvuloplasty technique.

Catheter Cardiovasc Interv 2021 Mar 31. Epub 2021 Mar 31.

Division of Cardiology, Tygerberg Hospital & Stellenbosch University, Cape Town, South Africa.

Objectives: To develop and evaluate a new over-the-wire technique for mitral valvuloplasty that is both technically easier and less costly.

Background: Rheumatic heart disease (RHD) and resultant mitral stenosis (MS) carries a significant burden of disease worldwide. The prevalence is however concentrated in lower income countries where the current gold standard for percutaneous mitral valvuloplasty (PMBV)-the Inoue technique, is not always available due to cost and technical complexity. Read More

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A new device to treat mitral valve regurgitation: a proof of concept in bench test study.

J Med Eng Technol 2021 Apr 23;45(3):197-206. Epub 2021 Mar 23.

Neurosciences and Rehabilitation Department, University of Ferrara, Ferrara, Italy.

Mitral valve repair is typically performed by implanting a ring-like device at the valve annulus to reshape the annulus and to improve leaflet coaptation. In most cases, some additional procedures are needed, including leaflet resection and artificial chordae implantation. However, artificial chordae implantation could be technically challenging and postoperative left ventricular remodeling could increase the risk of recurrent mitral regurgitation. Read More

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Current status of the treatment of degenerative mitral valve regurgitation.

Rev Port Cardiol (Engl Ed) 2021 Apr 19;40(4):293-304. Epub 2021 Mar 19.

Faculty of Medicine, University of Coimbra, Coimbra, Portugal. Electronic address:

Degenerative mitral valve disease (myxomatous degeneration or fibroelastic deficiency) is the most common indication for surgical referral to treat mitral regurgitation. Mitral valve repair is the procedure of choice whenever feasible and when the results are expected to be durable. Posterior leaflet prolapse is the commonest lesion, found in up to two-thirds of patients. Read More

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A large congenital atrial septal defect in an adult with delayed therapy.

J Int Med Res 2021 Mar;49(3):300060521997700

Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, Changsha, China.

Patients with a large congenital atrial septal defect (ASD) traditionally have the ASD repaired at the preschool age. Unfortunately, insufficient education of patients regarding medical science and clinical recommendations can lead to delayed therapy, resulting in complications during adulthood. We report a rare case of a large congenital ASD in a 20-year-old man. Read More

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Managing asymptomatic severe rheumatic mitral stenosis in pregnancy: a case report.

Eur Heart J Case Rep 2021 Mar 28;5(3):ytab010. Epub 2021 Feb 28.

Department of Cardiology, Royal Darwin Hospital, 105 Rocklands Drive, Tiwi, NT 0810, Australia.

Background: Rheumatic heart disease (RHD) is a disease of disparity most prevalent in developing countries and among immigrant populations. Mitral stenosis (MS) is a common sequalae of RHD and affects females disproportionately more than males. Rheumatic MS remains a significant management challenge as severe MS is usually poorly tolerated in pregnancy due to haemodynamic changes and increased cardiovascular demands of progressing pregnancy. Read More

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Bilateral coronary ostial atresia in a patient with pulmonary atresia and ventricular septal defect.

Cardiol Young 2021 Apr 8;31(4):644-645. Epub 2021 Mar 8.

Department of Cardiovascular Surgery, Japan Community Health Organization Chukyo Hospital, Minami-ku, Nagoya, Japan.

This is a case of a female infant with bilateral coronary ostial atresia associated with pulmonary atresia and ventricular septal defect. She developed coronary ischemia at 1-month of age, when she underwent an aortopulmonary shunt and an aorta-right ventricle shunt. The double-orifice tricuspid valve was separating the right ventricle from the left ventricle. Read More

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Sterile subconjunctival abscess in an HLA-B51-positive patient with ulcerative colitis.

Am J Ophthalmol Case Rep 2021 Jun 9;22:101033. Epub 2021 Feb 9.

Department of Ophthalmology, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.

Purpose: To report a rare case of aseptic abscess presenting as a subconjunctival abscess in an HLA-B51-positive patient with ulcerative colitis.

Observations: A 25-year-old, male, Japanese patient with ulcerative colitis presented with an unilateral subconjunctival abscess. Infective endocarditis with endophthalmitis was suspected of being the cause, and systemic antimicrobial therapy was begun. Read More

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Advances in Rheumatic Mitral Stenosis: Echocardiographic, Pathophysiologic, and Hemodynamic Considerations.

J Am Soc Echocardiogr 2021 Feb 27. Epub 2021 Feb 27.

Icahn School Medicine at Mount Sinai, New York, New York. Electronic address:

Echocardiography is the primary imaging modality used in patients with mitral stenosis. Doppler-derived measurements of mitral pressure half-time are commonly used to calculate mitral valve area, but a number of hemodynamic confounders associated with advanced age limit its utility. Planimetry remains the gold standard for determining mitral valve area and may be performed using two- or three-dimensional imaging. Read More

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February 2021

Natural history of pulmonary atresia with intact ventricular septum (PAIVS) and critical pulmonary stenosis (CPS) and prediction of outcome.

Arch Gynecol Obstet 2021 Jul 14;304(1):81-90. Epub 2021 Feb 14.

Division of Prenatal Medicine, Department of Obstetrics and Gynecology, Justus-Liebig-University Giessen and University Hospital Giessen & Marburg, Giessen, Germany.

Objectives: To analyse prenatal parameters predicting biventricular (BV) outcome in pulmonary atresia with intact ventricular septum/critical pulmonary stenosis (PAIVS/CPS).

Methods: We evaluated 82 foetuses from 01/08 to 10/18 in 3 centres in intervals 1 (< 24 weeks), 2 (24-30 weeks) and 3 (> 30 weeks).

Results: 61/82 (74. Read More

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Improvement in right ventricular function by mitral valve closure in hypoplastic left heart syndrome.

Interact Cardiovasc Thorac Surg 2021 Feb 15. Epub 2021 Feb 15.

Department of Pediatric Cardiovascular Surgery, Children's Medical Center, Kyoto Prefectural University of Medicine, Kyoto, Japan.

A male neonate presented with the aortic/mitral stenotic variant of hypoplastic left heart syndrome, wherein the suprasystemic left ventricular pressure and relatively large left ventricle had shifted the intraventricular septum. Despite bilateral pulmonary artery banding, the stroke volume was difficult to maintain owing to the compressed right ventricle, causing heart failure symptoms. Percutaneous balloon aortic valvuloplasty decreased the left ventricular pressure, restoring the right ventricular function. Read More

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February 2021

Percutaneous Balloon Mitral Valvuloplasty and Early Right Atrial Clot Formation: A Case Report.

J Tehran Heart Cent 2020 Apr;15(2):77-80

Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

Percutaneous balloon mitral valvuloplasty (PBMV) has recently become the treatment of choice for many patients suffering from mitral stenosis. In the current report, we introduce a 26-year-old woman who presented to us with palpitation and exertional dyspnea but without any remarkable medical history. ECG illustrated the sinus rhythm, transthoracic echocardiography (TTE) showed severe rheumatic mitral stenosis and (2+) mitral regurgitation, and transesophageal echocardiography (TEE) demonstrated severe mitral stenosis and no thrombus. Read More

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Successful management of heart failure 45 years after surgical correction of tetralogy of Fallot.

J Cardiol Cases 2021 Feb 20;23(2):76-79. Epub 2020 Oct 20.

Department of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

A 59-year-old Japanese woman was admitted with heart failure due to severe pulmonary regurgitation and tricuspid regurgitation, in addition to atrial fibrillation 45 years after surgical correction of tetralogy of Fallot (TOF). She had been under treatment with medication and catheter ablation for arrhythmia including ventricular tachycardia for the past 28 years. She underwent pulmonary valve replacement as well as tricuspid and mitral valvuloplasty, which obviously improved her status even though her right ventricular end-diastolic volume index exceeded the recommended threshold. Read More

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February 2021

Balloon Valvuloplasty for Congenital Aortic Stenosis: Experience at a Tertiary Center in a Developing Country.

J Interv Cardiol 2021 12;2021:6681693. Epub 2021 Jan 12.

Department of Pediatrics and Adolescent Medicine, American University of Beirut Medical Center (AUBMC), Beirut, Lebanon.

Background: Aortic valve stenosis accounts for 3-6% of congenital heart disease. Balloon aortic valvuloplasty (BAV) is the preferred therapeutic intervention in many centers. However, most of the reported data are from developed countries. Read More

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Myocardial expression of somatotropic axis, adrenergic signalling, and calcium handling genes in heart failure with preserved ejection fraction and heart failure with reduced ejection fraction.

ESC Heart Fail 2021 Apr 29;8(2):1681-1686. Epub 2021 Jan 29.

Department of Translational Medical Sciences, Federico II University of Naples, Via Pansini 5, Naples, 80138, Italy.

Aims: Limited data are available regarding cardiac expression of molecules involved in heart failure (HF) pathophysiology. The majority of the studies have focused on end-stage HF with reduced ejection fraction (HFrEF) without comparison with healthy subjects, while no data are available with regard to HF with preserved ejection fraction (HFpEF). HFpEF is a condition whose multiple pathophysiological mechanisms are still not fully defined, with many proposed hypotheses remaining speculative due to limited access to human heart tissue. Read More

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Assessment of immediate effects of percutaneous balloon mitral valvuloplasty on right ventricular and pulmonary functions in severe rheumatic mitral stenosis patients using speckle tracking echocardiography and spirometry.

J Cardiovasc Thorac Res 2020 24;12(4):280-285. Epub 2020 Nov 24.

Department of Cardiology, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India.

The current study was sought to assess the immediate effect of percutaneous balloonmitral valvuloplasty (PBMV) on right ventricular (RV) and pulmonary functions using speckle tracking echocardiography (STE) and spirometry respectively. Two-dimensional speckle tracking and doppler studies for strain and strain rate imaging of RV were performed before PBMV, after 48h and 15 days of PBMV using echocardiography and spirometry. Mitral valve area, peak and mean mitral valve transannular pressure gradients, late filling velocities,Wilkins score, Systolic pulmonary artery pressure, TAPSE, RV end-diastolic and end-systolic areas,RV fractional area change and Tei index were measured. Read More

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November 2020

Presentation of Severe Rheumatic Mitral Stenosis at the Peak of the COVID-19 Pandemic and the Presumptive Treatment as Severe Coronavirus Illness.

Eur J Case Rep Intern Med 2020 4;7(12):001957. Epub 2020 Nov 4.

Department of Cardiology, Tallaght University Hospital, Tallaght, Dublin, Ireland.

This case report describes a young female Caucasian patient with newly presenting severe mitral stenosis at the peak of the coronavirus pandemic in the Republic of Ireland. The initial presumptive diagnosis was of severe coronavirus illness. This case report highlights the importance of keeping an open mind to alternative diagnoses and examines some of the challenges in the diagnosis and management of a rare condition in the pandemic environment. Read More

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November 2020