Preliminary report on percutaneous...
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Preliminary report on percutaneous mechanical mitral commisurotomy
Nguyen Quang Tuan, MD., Nguyen Quoc Thai, MD., Nguyen Ngoc quang MD., To Thanh Lich, MD,PhDNguyen Lan Viet,MD,PhD., Pham Gia Khai,MD,PhD.
Vietnam National Heart Institute Bach Mai hospital - Hanoi - Vietnam
Abstract: Our first clinical experience on percutaneous mechanical mitral commissurotomy (PMMC) consisted of 46 patients with mitral stenosis in which 13 patients with mitral restenosis after prior surgical commissurotomy (38,26%). The mean age was 45.52 ± 10.5 years (17 to 70). The gender: 38 females and 8 males. 22 were in sinus rhythm and 24 presented with atrial fibrillation. The mean total echo score was 9.81 ± 2.3 and the majority in functional class (NYHA) III/IV (54.35%).
Results: The procedures was technically successful in 46 patients (100%). PMMC resulted in significant improvement in hemodynamic values: the mean left atrial pressure fell from 31.10 ± 7.22 mmHg to 17.5 ± 5.15 mmHg (p, 百拇医药
Nguyen Quang Tuan, MD., Nguyen Quoc Thai, MD., Nguyen Ngoc quang MD., To Thanh Lich, MD,PhDNguyen Lan Viet,MD,PhD., Pham Gia Khai,MD,PhD.
Vietnam National Heart Institute Bach Mai hospital - Hanoi - Vietnam
Abstract: Our first clinical experience on percutaneous mechanical mitral commissurotomy (PMMC) consisted of 46 patients with mitral stenosis in which 13 patients with mitral restenosis after prior surgical commissurotomy (38,26%). The mean age was 45.52 ± 10.5 years (17 to 70). The gender: 38 females and 8 males. 22 were in sinus rhythm and 24 presented with atrial fibrillation. The mean total echo score was 9.81 ± 2.3 and the majority in functional class (NYHA) III/IV (54.35%).
Results: The procedures was technically successful in 46 patients (100%). PMMC resulted in significant improvement in hemodynamic values: the mean left atrial pressure fell from 31.10 ± 7.22 mmHg to 17.5 ± 5.15 mmHg (p, 百拇医药