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Title: Efficacy and Safety of Percutaneous Metallic Mitral Valvuloplasty in Rheumatic Mitral Stenosis at Siriraj Hospital
Authors: Rewat Phankingthongkum
Chunhakasem Chotinaiwattarakul
Pradit Panchavinnin
Damras Tresukosol
Decho Jakrapanichakul
Yongyuth Sahasakul
Sanya Kaeokam-Aim
Mahidol University
Keywords: Medicine
Issue Date: 1-Apr-2002
Citation: Journal of the Medical Association of Thailand. Vol.85, No.4 (2002), 405-415
Abstract: Mitral stenosis is an important problem that leads to heart failure and stroke in Thailand. The options of treatment at present are either surgical or balloon mitral commissuroiomy. However, the cost of balloon is very expensive. To reduce the expense of the procedure, the authors prospectively did a study using a new device called the metallic valvulotome in symptomatic severe mitral stenosis to assess the safety, feasibility and immediate outcomes. Fifty-seven patients were included in the study. The successful outcome achieved by the metallic valvulotome was 96.2 per cent in patients in whom the procedure was actually performed. The mean transmitral gradient, left atrial pressure and pulmonary artery pressure were significantly decreased and the mitral valve area was also significantly increased. Three cases failed the procedure due to inappropriate position of the septal puncture. No death occurred in the study and complications of the procedure included only two cases of hemopericardium. In the future, it is believed that this new innovative device will provide improvement and reduce the cost of the procedure in patients with severe mitral stenosis.
ISSN: 01252208
Appears in Collections:Scopus 2001-2005

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