Redo percutaneous mitral valvuloplasty (redo pmv) in patients with recurrent mitral valve stenosis: Immediate and early outcomes

Massoud Ghasemi, Maryam Mehrpooya, Farshad Ghasemi, Mohammad Reza Movahed, Babak Sattartabar

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Symptomatic recurrent mitral valve stenosis develops in some patients after Percutaneous Mitral Valvuloplasty (PMV). This study assessed the immediate and early outcomes of redo PMV in patients with recurrent mitral valve stenosis after prior PMV. Methods: Fifty-four patients (40 women and 14 men, mean age of 38±8.2 years) underwent a redo (second) PMV for symptomatic restenosis of mitral valve [with Mitral Valve Area (MVA) < 1.5 cm2]. Redo PMV was performed at 5.8±1.2 years after the initial PMV. Results: In this study, 48 hours after the procedure, there was a substantial increase in MVA by 2-dimensional Echocardiography (GE, Vivid 7) from 1.0±0.2 to 2.2±0.4 cm2 (p<0.001) and a decrease in mean left atrial pressure from 27 ± 5 to 15 ± 4 mmHg (p<0.001) and in mean transmitral valve gradient from 15±4 to 2±1 mmHg (p <0 .001). Mean pulmonary artery pressure did not change significantly with redo procedure. Good immediate result was achieved in 53 patients (98.15%). Conclusion: Redo PMV can be performed successfully in patients with recurrent mitral valve stenosis following previous percutaneous valvuloplasty.

Original languageEnglish (US)
Pages (from-to)201-208
Number of pages8
JournalJournal of Iranian Medical Council
Volume2
Issue number6
StatePublished - 2019

Keywords

  • Echocardiography
  • Heart valve diseases
  • Mitral valve
  • Mitral valve stenosis

ASJC Scopus subject areas

  • Medicine(all)

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