Immediate Outcome of Percutaneous Balloon Mitral Valvotomy in Shahid Gangalal National Heart Centre, Bansbari, Kathmandu, Nepal

Shrestha, Nagma; Bhatta, Yadav Kumar Deo; Maskey, Arun; Malla, Rabi; Rajbhandari, Rajib; Kansakar, Subodh; Sharma, Ranjit; Yadav, Dharmanath; Adhikari, Chandra Mani; Prajapati, Dipanker; Kesavan, Sujatha; Shrestha, Sanjeeb

doi:10.3126/njh.v12i1.12325

Cited by 2 publications

(1 citation statement)

References 13 publications

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“…In a recent prospective 16 study where Successful PTMC was defined as mean LA pressure decrease by >50% as compared to the baseline, MVA increase by > 50% as compared to the baseline and final absolute MVA of > 1.5 cm 2 in the absence of more than moderate MR;. all the 262 patients who underwent PTMC during July 2013 to June 2014 were included in the study, Seventy four percent of the patients were female.…”

Section: Overview Of Ptmc At Sgnhcmentioning

confidence: 99%

Percutaneous Transluminal Mitral Commisuriotomy for Mitral Stenosis in Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Adhikari

2016

Nepalese Heart J.

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Mitral stenosis (MS) is almost invariably the result of long term complication of rheumatic fever. Based upon the nature and severity of MS, patients can be managed with medical treatment, percutaneous transvenous mitral commissurotomy (PTMC) or surgery. PTMC is proven to be simple, effective and safe; it is considered as treatment of choice in the management of MS. In Shahid Gangalal National Heart Centre, PTMC service started in 2001. First PTMC in the centre was done on 14th April 2001. Till June2016, 6023 PTMCs were done in the centre. Multiple studies evaluated the safety and efficacy of PTMC in different groups of patients. These studies clearly demonstrated the safety and effectiveness of PTMC in our centre. This article summarizes the historical development, current status and future perspectives of PTMC procedure at Shahid Gangalal National Heart Centre, a teritary care cardiac centre in Nepal.Nepalese Heart Journal 2016; 13(2): 15-17

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Section: Overview Of Ptmc At Sgnhcmentioning

confidence: 99%

Percutaneous Transluminal Mitral Commisuriotomy for Mitral Stenosis in Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Adhikari

2016

Nepalese Heart J.

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Pulmonary vascular resistance and proper timing of percutaneous balloon mitral valvotomy

Elmaghawry

El-Dosouky

Kandil

et al. 2017

Int J Cardiovasc Imaging

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It is frequent to see pulmonary hypertension (PH) in patients with mitral stenosis (MS) secondary to increased pulmonary vascular resistance (PVR), data about the effect of PVR on the results of percutaneous balloon mitral valvotomy (PBMV) are insufficient. To detect the role of PVR in predicting residual PH immediately after PBMV. This prospective study comprised 49 consecutive patients with moderate to severe MS who were investigated pre and within 48 h post a successful PBMV for the first time. Echocardiography was used to assess the mitral valve area (MVA), mean transmitral pressure gradient (MPG), mitral valve resistance (MVR), right ventricular systolic pressure (RVSP) and PVR. Patients were classified into two groups according to the pre PVR (≥ 1.6 WU as group I and < 1.6 as group II). At baseline compared to group II (32 patients), Group I (17 patients) had higher MPG (13.6 ± 5.2 vs. 11.7 ± 3.7 mmHg, P < 0.05), RVSP (45.6 vs. 37.9 mmHg, P < 0.001) and PVR (2.2 ± 0.1 vs. 1.2 ± 0.1WU, P < 0.001) with no significant difference regarding age, gender, MVS, MVA and MVR. Patients of group I had comparatively lower improvement immediate post procedural of RVSP and PVR with no significant difference in immediate post procedural improvement in NYHA classification, MVA, MPG and MVR. Basal PVR > 1.8WU was proved to be a highly specific (91%), a good predictor (AUC 0.78) of persistent elevation of RVSP > 50 mmHg post PMV. Pathological rise of PVR that associates MS had provided a strong and an independent predictor of persistent pulmonary hypertension post PBMV and by this aspect it could be used as a valuable tool as MVA and MPG to send patients earlier for PBMV even with less severe MS. PVR > 1.81 WU could be used as a noninvasive parameter for predicting regression of PH immediately after PBMV.

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Immediate Outcome of Percutaneous Balloon Mitral Valvotomy in Shahid Gangalal National Heart Centre, Bansbari, Kathmandu, Nepal

Cited by 2 publications

References 13 publications

Percutaneous Transluminal Mitral Commisuriotomy for Mitral Stenosis in Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Percutaneous Transluminal Mitral Commisuriotomy for Mitral Stenosis in Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Pulmonary vascular resistance and proper timing of percutaneous balloon mitral valvotomy

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