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  • Title: [Percutaneous mitral commissurotomy. 5-year results].
    Author: Ben Youssef S, Hentati M, Grati Z, Kassis M, Trabelsi I, Ould Bah A, Kamoun H, Mnif S, Fendri S, Daoud M.
    Journal: Tunis Med; 2001 Nov; 79(11):581-6. PubMed ID: 11892425.
    Abstract:
    Long-term results of percutaneous mitral commissurotomy were evaluated in 410 patients with mean age of 31 years (18 to 68 years). 48% of patients had mean thickened leaflets, 35% had calcified valves and 17% had flexible leaflets and subvalvular apparatus. Procedure was performed with a double balloon in 57% and with Inoue's balloon in 43% patients. A good immediate results was obtained in 77% of patients. A good result was defined as a mitral valve area > or = 1.5 cm2 without mitral regurgitation. Clinical follow-up concern 378 patients. The actuarial 5 years rate were 84% in our serie, without surgery or new percutaneous mitral commissurotomy and good functional results (NYHA class I or II) were 71%. Valvular anatomy, immediate results (mitral valve area), history of mitral commissurotomy, old patients, atrial fibrillation can influence strongly the results.
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