Long-term results of mitral commissurotomy

Scalia, Domenico; Rizzoli, Giulio; Campanile, Francesco; Melacini, Paola; Villanova, Carla; Milano, Aldo Domenico; Fasoli, G; Mazzucco, Alessandro; Casarotto, D

doi:10.1016/s0022-5223(19)34189-3

Cited by 23 publications

(5 citation statements)

References 35 publications

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“…In a study of 267 patients followed during 20 years after transventricular commissurotomy, Rihal et al 18 identified AF as an independent predictor of long-term survival. In the study by Scalia et al 19 with a follow-up time up to 22 years after closed or open mitral commissurotomy, AF was identified as a univariate predictor of survival and effective palliation.…”

Section: Comparison With Previous Studiesmentioning

confidence: 99%

Immediate and Long‐term Results Following Balloon Mitral Valvotomy in Patients With Atrial Fibrillation

Nair

Pillai

Thajudeen

et al. 2012

Clinical Cardiology

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Background: The purpose of this study was to examine the influence of atrial fibrillation (AF) on the immediate and long-term outcome of patients undergoing balloon mitral valvotomy (BMV). Hypothesis: Patients with atrial fibrillation fair poorly after balloon mitral valvotomy. Methods: There were a total of 818 consecutive patients who underwent elective BMV in this institute from 1997 to 2003, with either double-lumen or triple-lumen BMV catheters included in the study. Of them, 95 were with AF. The clinical, echocardiographic, and hemodynamic data of these patients were compared with those of 723 patients in normal sinus rhythm (NSR). Immediate procedural results and long-term events were compared between the 2 study groups. Results: Patients with AF were older (39.9 ± 9.9 years vs 29.4 ± 10.1, P < 0.001) and presented more frequently with New York Heart Association (NYHA) class III-IV (53.7% vs 32.9%, P < 0.001), echocardiographic score >8 (47.4% vs 24.9%, P < 0.001), and with history of previous surgical commissurotomy (33.7% vs 11.5%, P < 0.001). In patients with AF, BMV resulted in inferior immediate and long-term outcomes, as reflected in a lesser post-BMV mitral valve area (1.3 ± 0.4 vs 1.6 ± 0.4 cm 2 , P = 0.032) and higher event rate on follow-up. Conclusions:Patients with AF were older, sicker, and had advanced rheumatic mitral valve disease. They had a higher incidence of stroke, new onset heart failure, and need for reinterventions on long-term follow-up. These patients need intense and more frequent follow-up.

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Section: Comparison With Previous Studiesmentioning

confidence: 99%

Immediate and Long‐term Results Following Balloon Mitral Valvotomy in Patients With Atrial Fibrillation

Nair

Pillai

Thajudeen

et al. 2012

Clinical Cardiology

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“…Most studies showed no difference in survival rates between the closed and open mitral commissurotomy. [19][20][21] Scalia and colleagues showed identical survival rates using both techniques. 21 Hickey and associates were also able to demonstrate that the operative technique was not a risk factor for long-term survival.…”

Section: Discussionmentioning

confidence: 95%

“…[19][20][21] Scalia and colleagues showed identical survival rates using both techniques. 21 Hickey and associates were also able to demonstrate that the operative technique was not a risk factor for long-term survival. 19 Our study also showed that closed mitral commissurotomy is an effective procedure to treat the mitral stenosis without any mortality and morbidity.…”

Section: Discussionmentioning

confidence: 95%

Per-operative Changes of Pulmonary Artery Pressure following Closed Mitral Commissurotomy

et al. 2019

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Background: Mitral stenosis is often present with pulmonary hypertension. Closed Mitral Commissurotomy (CMC) is a treatment of choice for severe mitral stenosis. In this study, we examined the per-operative changes of pulmonary artery pressure following opening of stenosed mitral valve. Methods: All these CMCs were performed routinely through the left antero-lateral thoracotomy (4th intercostal space) and dilatation was done by metallic Tubb’s Dilator. Peroperative left atrial and Pulminary Arterial pressures were measured before and after dilatation. Results: 15 patients had undergone CMC. Following CMC, per-operative mean Pulmonary artery pressure was reduced from 45.5±7.1 mm of Hg to 39.0±8.8 mm of Hg (p=0.043). Mean left atrial pressure reduced from 35.9±5.6 mm of Hg to 30.0±9.1 mm of Hg (p = 0.049). At three months follow up after closed mitral commissurotomy mitral valve area at echocardiography was found 2.29±0.18 cm2. There was no case of death after closed mitral commissurotomy. Mild mitral regurgitation occurred in 1 patient. Conclusion: We conclude that there is immediate significant reduction of pulmonary Artery pressure following closed mitral commissurotomy. This reduction is apparently comparable with a similar reduction of left atrial pressure. Cardiovasc. j. 2019; 11(2): 147-151

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“…The present study showed excellent long-term results in closed commissurotomy. Most studies showed no difference in survival rates between the closed and open techniques [Molajo 1988, Hickey 1991, Scalia 1993. Although in some cardiac centers the open method of mitral commissurotomy has become the favored technique for treatment of MS, Detter and colleagues [1999] did not show any significant differences in early and late survival in patients undergoing surgery performed using open versus closed technique.…”

Section: Discussionmentioning

confidence: 99%

Role of Closed Mitral Commissurotomy for Mitral Stenosis: Mid- and Long-term Surgical Outcome of 36 Patients

Ateş¹,

Ünlü²,

Yekeler³

et al. 2005

HSF

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Long-term results of mitral commissurotomy

Cited by 23 publications

References 35 publications

Immediate and Long‐term Results Following Balloon Mitral Valvotomy in Patients With Atrial Fibrillation

Immediate and Long‐term Results Following Balloon Mitral Valvotomy in Patients With Atrial Fibrillation

Per-operative Changes of Pulmonary Artery Pressure following Closed Mitral Commissurotomy

Role of Closed Mitral Commissurotomy for Mitral Stenosis: Mid- and Long-term Surgical Outcome of 36 Patients

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