| Autor: |
F, Remadi, E, Boughzala, E, Neffati, N, Jenayeh, J, Zemni, N, Hergli, A, Ismail, H, Ben Saad |
| Jazyk: |
francouzština |
| Rok vydání: |
2006 |
| Předmět: |
|
| Zdroj: |
Annales de cardiologie et d'angeiologie. 55(3) |
| ISSN: |
0003-3928 |
| Popis: |
Of 745 patients treated by balloon mitral commissurotomy (BMC) between February 1988 and December 2002, 45 wereor = 60-years old. Immediate and late outcomes in this group (group 1) were compared with those in the patients aged60-years (group 2). Baseline hemodynamic parameters were comparable in the two groups. Mitral surface area and hemodynamic parameters improved significantly after BMC in group 1: mean left atrial pressure fell from 18.76 +/- 6.18 to 10.65 +/- 4.38 mmHg (P0.001), mean transmitral gradient from 11.03 +/- 4.70 to 4.63 +/- 2.05 mmHg (p0.001) and mitral valve area from 0.99 +/- 0.22 to 1.88 +/- 0.41 cm2 (p0.001). Similar significant improvements were seen in group 2. The hemodynamic result was good in 69% of group 1 patients. Tamponade occurred in one patient. Mitral regurgitation grade I or II developed in 8 patients and remained stable in 13 patients. These complication rates were comparable to those seen in group 2. In the group 1, a good result was maintained in 60% of patients after 43 +/- 23 months of follow-up. Although restenosis was observed in 40% of patients, functional amelioration was obtained in most of cases. In the group 2, restenosis was observed in 25% of patients. The data from this study suggest that BMC is effective first therapy in patients agedor = 60-years with symptomatic mitral stenosis. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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