Page 9 - Journal of Structural Heart Disease Volume 3, Issue 2

Original Scienti c Article
Journal of Structural Heart Disease, April 2017, Volume 3, Issue 2:35-42
DOI: http://dx.doi.org/10.12945/j.jshd.2017.011.16
Received: October 06, 2016 Accepted: October 31, 2016 Published online: April 2017
Percutaneous Balloon Mitral Valvuloplasty in
the Elderly
Mahmoud Sharaf, MD*, Lotfy H. Abodahab, MD, Mohamed Bahaa, MD Department of Cardiology, Sohag University Hospital, Sohag, Egypt
Abstract
introduction and aim of the work:-mitral steno- sis still shows it self older population in developed countries.Percutaneous balloon mitral Valvuloplas- ty (PBMV) is the treatment of choice for severe and /or hemodynamically significant mitral stenosis. It has been developed as an alternative modality to surgical closed commissurotomy for mitral steno- sis5. Elderly patients with mitral stenosis are a spe- cial entity who suffered a severe form of the disease and in the same time at higher risk of surgical mitral valve replacement, the aim of the current study is to assess and analyze clinical and echocardiograph- ic consequences after percutaneous balloon mitral Valvuloplasty in those patients. Study design Uncon- trolled prospective longitudinal single center study performed in patients referred for percutaneous balloon mitral valvuloplasty. Patients :-The current study included 40 elderly consecutive patients who underwent PBMV in Sohag university hospital cath- lab unit. results and conclusion:-There was no in hos- pital mortality , only one patient developed severe MR , technical failure was encountered in 2 patients, because of failure of the balloon ability to traverse tight valves.This study agreed that PBMV can be ap- plied to those with less favorable valve morphology, PBMV is a safe and effective procedure and opti- mal results can be achieved in patients with higher wilkin’s score if they are carefully selected and oper- ated at experienced centers.
Copyright © 2017 Science International Corp.
Key Words
Percutaneous • Mitral • Valvulopasty • Elderly
Introduction
The prevalence of mitral stenosis is reflective of the prevalence of rheumatic fever in a particu- lar region [1, 2]. Rheumatic valvular heart disease continues to be endemic in developing countries, with mitral stenosis being the most frequent valve disorder [3]. Although the incidence and severity of rheumatic mitral stenosis has declined in de- veloped countries, the disease is still highly prev- alent in many poor and densely populated areas of the globe, remaining a major public health issue and reflecting the socioeconomic status of the region, especially among the elderly. By contrast, mitral stenosis progresses much more rapidly in developing countries and may lead to symptoms in younger patients, including young adults, ado- lescents, and even children under 5 years of age in some countries [4]. However, mitral stenosis is still pervasive within older populations in developed countries.
Percutaneous balloon mitral valvuloplasty (PBMV), which was developed as an alternative to surgical closed commissurotomy [5], is the treatment of choice for severe and/or hemodynamically signi cant mitral stenosis. Elderly patients with mitral stenosis are a special population who su er from a severe form of the disease and at the same time are at higher risk of surgical mitral valve replacement. Therefore, the aim of the current study was to assess the clinical and echocardiographic consequences of PBMV in elderly patients.
* Corresponding Author:
Mahmoud Sharaf, MD
Department of Cardiology
Sohag University Hospital
Elgomhoria Street Sohag, Egypt
Tel.: +20 1023620185; Fax: +20 9324602963; E-Mail: dr.m.bahaa1988@gmail.com
Fax +1 203 785 3346
E-Mail: jshd@scienceinternational.org http://structuralheartdisease.org/
© 2017 Journal of Structural Heart Disease Published by Science International Corp. ISSN 2326-4004
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