摘要
Objective:To evaluate the clinical results of pcrcutancous balloon mitratvalvuloplasty(PBMV)in patient with rheumatic nlitral stenosis.Materials andMethods:one hundred and eighty-two patients with rheumatic mitral stenosis(MS)have been Irented by PBMV since 1995.There were 30 males and 152females,aged 38.6+8.0 years.Atrial fibrillation occurred in 42 paticnts andsinus rhythm in 140 patients,including 18 patients wilh restenosis closedcommissurotomy and 8 patients with thrombus in the left atrial appendage bylaking a small dose of Warfarin(3mg/d)for 4-6 months.63 patients hadminimal mitral regurgitation,26 patients had minimal aortic valve stenosis onregurgitation.The balloon diameter was from 25mm to 28mm.PBMV wasperformed using tbe single balloon Inoue technique.Results:PBMV for 179 patients with MS were successfully performde AfienPBMV the mean Ien atrial pressure decreased from 36+11 mmllg to 12+4mmHg(P【0.001),the mean mitral value gradie(MVG)decreased from 32+6 mmHg to 9+5mmHg(P【0.001).the mean mitral valoe area incrensed from0.89±0.32 cm^2 lo 1.92±0.43 cm^2(P【0.001)the mean pulinonary arterypressure dropped from 54±26 mmHg to 32±14 mmHg(P【0.001).the mcanIen atrial diameler decreased(LAD) from 48 mm to 43 mm(P【0.001).symptomatic improvement occurred in 178 patients with severecolnplicatins.including one palient wilh.severe regurgitation of mitral valvedue to valve lear.another potienl with acute endovarditis there were no deatlor thronlhoembolic complications in all paticnts.Conclusion:The results suggest that PBMV is effective therapy for thepatients with mitral stenosis,the method is also of first choice for thealing MSwith cxcellent results,the procedure is very safely with high success rele and afew complications.
Objective:To evaluate the clinical results of pcrcutancous balloon mitrat valvuloplasty(PBMV)in patient with rheumatic nlitral stenosis.Materials and Methods:one hundred and eighty-two patients with rheumatic mitral stenosis (MS)have been Irented by PBMV since 1995.There were 30 males and 152 females,aged 38.6+8.0 years.Atrial fibrillation occurred in 42 paticnts and sinus rhythm in 140 patients,including 18 patients wilh restenosis closed commissurotomy and 8 patients with thrombus in the left atrial appendage by laking a small dose of Warfarin(3mg/d)for 4-6 months.63 patients had minimal mitral regurgitation,26 patients had minimal aortic valve stenosis on regurgitation.The balloon diameter was from 25mm to 28mm.PBMV was performed using tbe single balloon Inoue technique. Results:PBMV for 179 patients with MS were successfully performde Afien PBMV the mean Ien atrial pressure decreased from 36+11 mmllg to 12+4 mmHg(P<0.001),the mean mitral value gradie(MVG)decreased from 32+ 6 mmHg to 9+5mmHg(P<0.001).the mean mitral valoe area incrensed from 0.89±0.32 cm^2 lo 1.92±0.43 cm^2(P<0.001)the mean pulinonary artery pressure dropped from 54±26 mmHg to 32±14 mmHg(P<0.001).the mcan Ien atrial diameler decreased(LAD) from 48 mm to 43 mm (P<0.001).symptomatic improvement occurred in 178 patients with severe colnplicatins.including one palient wilh.severe regurgitation of mitral valve due to valve lear.another potienl with acute endovarditis there were no deatl or thronlhoembolic complications in all paticnts. Conclusion:The results suggest that PBMV is effective therapy for the patients with mitral stenosis,the method is also of first choice for thealing MS with cxcellent results,the procedure is very safely with high success rele and a few complications.
出处
《中国介入心脏病学杂志》
1998年第4期175-175,共1页
Chinese Journal of Interventional Cardiology
