作者
Claire Bouleti, Bernard Iung, Dominique Himbert, Eric Brochet, David Messika-Zeitoun, Delphine Détaint, Eric Garbarz, Bertrand Cormier, Alec Vahanian
发表日期
2013/9/15
期刊
Heart
卷号
99
期号
18
页码范围
1336-1341
出版商
BMJ Publishing Group Ltd and British Cardiovascular Society
简介
Objective
We analysed long-term results of percutaneous mitral commissurotomy (PMC) performed because of mitral restenosis after previous commissurotomy.
Design
Follow-up of a prospective cohort.
Setting
Tertiary university hospital.
Patients
We studied 163 consecutive patients who underwent PMC because of restenosis occurring 16±8 years after previous commissurotomy (closed-heart in 121, open-heart in 30 and PMC in 12). Mean age was 48±14 years; 62 patients (38%) had valve calcification. Restenosis was due to bicommissural fusion in all cases.
Intervention
PMC using a single or double balloon in 80 patients and the Inoue balloon in 83.
Results
Good immediate results (IR) (valve area ≥1.5 cm2 with MR≤2/4) were obtained in 135 pts (83%). 20-year rates were 27.9±4.7% for cardiovascular survival without mitral surgery and 14.8±3.9% for good functional results (cardiovascular survival …
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C Bouleti, B Iung, D Himbert, E Brochet… - Heart, 2013