-
Current Problems in Cardiology Jul 1989Mitral valvuloplasty is associated with low operative mortality, preservation of ventricular function, reduced valve-related complications, decreased requirement for... (Review)
Review
Mitral valvuloplasty is associated with low operative mortality, preservation of ventricular function, reduced valve-related complications, decreased requirement for anticoagulation therapy, improved long-term survival, and decreased cost. It should be undertaken after careful consideration of the individual patient's pathophysiology and pathoanatomy, including a thorough clinical and echocardiographic evaluation. In these selected cases, an excellent surgical result can be obtained with valve repair, eliminating the risks associated with prosthetic mitral valve replacement.
Topics: Atrial Fibrillation; Catheterization; Echocardiography, Doppler; Humans; Mitral Valve Insufficiency; Mitral Valve Prolapse
PubMed: 2667897
DOI: 10.1016/s0146-2806(89)80002-7 -
Journal of the American Heart... Jul 2019See Article Desnos et al.
See Article Desnos et al.
Topics: Balloon Valvuloplasty; Cardiac Surgical Procedures; Follow-Up Studies; Humans; Mitral Valve Stenosis
PubMed: 31256697
DOI: 10.1161/JAHA.119.012898 -
Interventional Cardiology Clinics Jul 2018Rheumatic mitral stenosis remains a common disease in the developing world. Percutaneous mitral balloon valvuloplasty is an important therapy for rheumatic mitral... (Review)
Review
Rheumatic mitral stenosis remains a common disease in the developing world. Percutaneous mitral balloon valvuloplasty is an important therapy for rheumatic mitral stenosis. Echocardiography plays a critical role in the diagnosis of rheumatic mitral stenosis and the assessment of suitability for and guidance of percutaneous mitral valvuloplasty.
Topics: Balloon Valvuloplasty; Cardiac Catheterization; Echocardiography; Eligibility Determination; Humans; Mitral Valve Stenosis; Rheumatic Heart Disease
PubMed: 29983151
DOI: 10.1016/j.iccl.2018.04.003 -
Current Opinion in Cardiology Mar 1993The widespread use of percutaneous mitral valvuloplasty on the basis of gained experience, technical advances, and a thorough understanding of its pathophysiologic... (Review)
Review
The widespread use of percutaneous mitral valvuloplasty on the basis of gained experience, technical advances, and a thorough understanding of its pathophysiologic consequences, has generated great clinical enthusiasm and stimulated research efforts. Recent reports provide new insights into a number of topics, including technical issues, the current value of noninvasive techniques, and the results obtained with mitral valvuloplasty in particular clinical and anatomic settings. This review examines the information provided by recent studies.
Topics: Catheterization; Echocardiography; Hemodynamics; Humans; Mitral Valve Insufficiency; Mitral Valve Stenosis
PubMed: 10148393
DOI: 10.1097/00001573-199303000-00007 -
The Canadian Journal of Cardiology Oct 2022The prevalence of mitral valve disease has evolved over the past 5 decades from primarily a disease of rheumatic origin to a disease affecting the aging population that... (Review)
Review
The prevalence of mitral valve disease has evolved over the past 5 decades from primarily a disease of rheumatic origin to a disease affecting the aging population that encompasses a range of phenotypes from rheumatic mitral stenosis, degenerative mitral regurgitation, and degenerative mitral valve calcification to secondary mitral regurgitation. A reflection on the history of therapy for mitral valve disease is an expedition that follows the birth and development of structural heart intervention from the first percutaneous balloon mitral valvuloplasty to innovative technologies for transcatheter mitral valve repair and replacement. This review will lead you along this journey, pause to acknowledge the feats accomplished, and reflect on the road that lies ahead.
Topics: Balloon Valvuloplasty; Heart Valve Diseases; Heart Valve Prosthesis Implantation; Humans; Mitral Valve; Mitral Valve Insufficiency; Mitral Valve Stenosis; Treatment Outcome
PubMed: 33383168
DOI: 10.1016/j.cjca.2020.11.018 -
JACC. Cardiovascular Imaging Dec 2020
Topics: Balloon Valvuloplasty; Humans; Mitral Valve Insufficiency; Mitral Valve Stenosis; Predictive Value of Tests
PubMed: 33129730
DOI: 10.1016/j.jcmg.2020.07.044 -
Clinical Cardiology Aug 1999Almost all mitral stenosis (MS) is rheumatic in etiology. The patient with MS who is symptomatic despite medical therapy should undergo percutaneous mitral balloon... (Review)
Review
Almost all mitral stenosis (MS) is rheumatic in etiology. The patient with MS who is symptomatic despite medical therapy should undergo percutaneous mitral balloon valvuloplasty or mitral valvular surgery (commissurotomy or replacement). The choice of procedure is determined by patient preference and the echocardiographic morphologic features of the valvular and subvalvular apparati. With balloon valvuloplasty, the rate of success is > 90%. At institutions where operators are experienced with balloon valvuloplasty and open surgical commissurotomy, their acute and long-term results are comparable. Balloon valvuloplasty occasionally is associated with complications, including death in 0 to 1%, moderate or severe valvular regurgitation in 3 to 5%, and systemic embolization in 1 to 3%.
Topics: Catheterization; Humans; Mitral Valve; Mitral Valve Stenosis; Rheumatic Heart Disease; Ultrasonography
PubMed: 10492838
DOI: 10.1002/clc.4960220803 -
Annals of Noninvasive Electrocardiology... Jan 2024This study aimed to investigate the structure of the mitral valve in patients undergoing mitral valvuloplasty (MVP) using real-time three-dimensional transesophageal...
OBJECTIVE
This study aimed to investigate the structure of the mitral valve in patients undergoing mitral valvuloplasty (MVP) using real-time three-dimensional transesophageal echocardiography (RT-3D-TEE). The main objective was to study the relationship between intraoperative annuloplasty ring size and mitral valve structure dimensions, with a focus on exploring the application value of RT-3D-TEE in MVP.
METHODS
A total of 28 patients with degenerative mitral regurgitation (DMR), who underwent MVP between February and September 2022, as well as 12 normal control cases, were enrolled in this study. The MV annulus and leaflets were quantitatively analyzed using MVN software.
RESULTS
The DMR group exhibited significantly greater dimensions in various parameters of the mitral valve, including the anterolateral-to-posteromedial diameter (D ), anterior-to-posterior diameter (D ), annulus height (H ), three-dimensional annulus circumference (C ), two-dimensional annulus area (AA ), anterior leaflet area (A ), posterior leaflet area (A ), anterior leaflet length (L ), posterior leaflet length (L ), and tenting volume (V ) compared to the control group.
CONCLUSION
Real-time three-dimensional transesophageal echocardiography provides valuable insights into the morphological structure of the mitral valve and lesion location. It can aid in surgical decision-making, validate the success of MVP, and potentially reduce mortality and complications associated with mitral valve repair procedures.
Topics: Humans; Echocardiography, Three-Dimensional; Echocardiography, Transesophageal; Electrocardiography; Mitral Valve; Mitral Valve Insufficiency; Balloon Valvuloplasty
PubMed: 38288512
DOI: 10.1111/anec.13104 -
Current Problems in Cardiology Dec 2023Echocardiography is an important diagnostic imaging modality in recognizing rheumatic heart disease, a chronic sequelae of acute rheumatic fever. Left-sided heart... (Review)
Review
Echocardiography is an important diagnostic imaging modality in recognizing rheumatic heart disease, a chronic sequelae of acute rheumatic fever. Left-sided heart valves, especially the mitral valve is typically affected, with stenosis or regurgitation as a consequence. Although assessment of valve area by 2D planimetry is the reference method for mitral stenosis severity, 3D planimetry provides more accurate measurement and diagnostic value. Careful selection of patients in terms of echocardiographic criteria is essential to ensure safety and success of the intervention and better long-term outcomes. Several echocardiographic scores based upon mitral valve mobility, thickening, calcification, and subvalvular thickening are developed to assess mitral valve anatomy and the feasibility of percutaneous mitral commissurotomy. 3D transesophageal echocardiography (TEE) provides detailed information of the mitral anatomy (commissural fusions, and subvalvular apparatus) before intervention. In addition, 3D TEE planimetry provides a more accurate measurement of the valve area compared with 2D echocardiography. Generally, huge annular calcification and lack of commissural fusion are unfavorable echocardiographic markers that increase the risk of complications and preclude the feasibility of percutaneous balloon mitral valvuloplasty. More contemporary prospective echocardiography research studies on patients with RHD from low- and middle-income countries are needed.
Topics: Humans; Rheumatic Heart Disease; Prospective Studies; Echocardiography; Mitral Valve; Mitral Valve Stenosis; Calcinosis; Balloon Valvuloplasty
PubMed: 37544629
DOI: 10.1016/j.cpcardiol.2023.102021