Evaluation of the short-term clinical outcomes (the changes of cardiac function, cardiac cavity size and hemodynamic) after percutaneous balloon mitral valvuloplasty in patients with rheumatic mitral stenosis and small left ventricle
- VernacularTitle:风湿性二尖瓣狭窄伴左室偏小患者球囊扩张术后的近期临床观察
- Author:
Ling ZHONG
;
Yafei PENG
;
Lianglong CHEN
- Publication Type:Journal Article
- Keywords:
Mitralstenosis;
Percutaneous balloon mitral valvuloplasty;
Cardiac function
- From:
Chinese Journal of Interventional Cardiology
1996;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the changes of cardiac function, cardiac cavity size and hemodynamic after percutaneous balloon mitral valvuloplasty (PBMV) in patients with rheumatic mitral stenosis and small left ventricle Methods PBMV was performed with Inoue technique in 27 patients with rheumatic mitral stenosis and small left ventricle The diameter of balloon was the height (cm) of patient/10+10 mm To measure the changes of hemodynamic during PBMV; to evaluate the cardiac function, size of the left atrium and ventricle, mitral valve area and its mean gradient, maximal pulmonary systolic pressure by echocardiogram 1 week before PBMV and 1 week, 1, 3, 6 month after PBMV Results The left atrial pressure, mean gradient and diastolic murmur decreased; and diastolic pressure of left ventricle increased immediately after PBMV; the cardiac function improved at 1 month after PBMV Conclusion The diameter of balloon can be height (cm) of patient/10+10 mm in the patients with rheumatic mitral stenosis and small left ventricle The cardiac cavity size has significant changes at 1 week and the largest effect was seen at 1 month At 1 month the cardiac function has been improved apparently
