Safety and efficacy of percutaneous balloon mitral valvuloplasty in patients with severe mitral stenosis and thrombus in the left atrial appendage
- VernacularTitle:重度二尖瓣狭窄合并左心耳血栓患者的球囊扩张术
- Author:
Xinming LI
;
Bin LI
;
Guanliang CHEN
- Publication Type:Journal Article
- Keywords:
Mitral stenosis;
Left atrial appendage thrombus;
Percutaneous balloon mitral valvuloplasty
- From:
Chinese Journal of Interventional Cardiology
1996;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and efficacy of percutaneous balloon mitral valvuloplasty (PBMV) in patients with rheumatic severe mitral stenosis and thrombus in the left atrial appendage.Methods We selected 11 patients (9 women and 2 men), the average age being 40.6?5.7 years. All cases received warfarin orally every day for more than 12 weeks before underwent PBMV used Inoue single balloon technique, to see whether systemic thromboembolism complication occurred during the operation and one year follow-up term. Results The successful rate of PBMV was 100%. No systemic thromboembolism occurred during and after PBMV. The parameters of hemodynamics, mitral valve area and cardiac function improved markedly.Conclusion PBMV on patients with severe mitral stenosis and thrombus in the left atrial appendage is safe and effective after certain anticoagulation treatment.