Skip to main content

Effect of valve deformity on results and mitral regurgitation after Inoue balloon commissurotomy.

Publication ,  Journal Article
Feldman, T; Carroll, JD; Isner, JM; Chisholm, RJ; Holmes, DR; Massumi, A; Pichard, AD; Herrmann, HC; Stertzer, SH; O'Neill, WW
Published in: Circulation
January 1992

BACKGROUND: The effect of valve deformity and patient age adversely affect the results of percutaneous transvenous mitral commissurotomy (PTMC) with conventional balloons. METHODS AND RESULTS: These factors were characterized after PTMC with the Inoue balloon. The increases in mitral valve area and mitral regurgitation after the procedure were evaluated comparing echocardiographic score of 8 or less versus more than 8, age of less than 60 versus age of 60 years or more, and age of less than 70 versus age of 70 years or more. One hundred sixty-two patients (mean age, 52 +/- 14 years) were studied. For the entire group, mitral valve area increased from 1.0 to 1.8 cm2 (p less than 0.001). Valve area increased from 1.0 +/- 0.3 to 1.8 +/- 0.6 cm2 in patients with echocardiographic score of 8 or less (n = 102) and from 1.0 +/- 0.3 to 1.7 +/- 0.5 cm2 with echocardiographic score of more than 8 (n = 44). Patients less than 60 years old (n = 104) had increases in valve area from 1.0 +/- 0.3 to 1.8 +/- 0.6 cm2 versus 1.0 +/- 0.4 to 1.8 +/- 0.6 cm2 for those 60 years old or older (n = 50) (p = NS). There was no significant difference in resultant valve area when the age division was increased to less than 70 versus 70 years or more. Similarly, the percentage of patients with 2+ or greater increase in mitral regurgitation was not different for those with higher than for those with lower echocardiographic scores (4% versus 12%, p = NS), age of less than 60 versus age of 60 years or more (10% versus 10%, p = NS), or age of less than 70 versus age of 70 or more years (9% versus 18%, p = NS). Valve replacement for mitral regurgitation was performed in four patients (one emergency), all with echocardiographic scores of less than 8. CONCLUSIONS: Age and extent of valve deformity do not have significant effects on acute results of PTMC using the Inoue balloon. Unique balloon geometry or the controlled, stepwise balloon sizing may explain these acceptable acute results in patients with more-deformed valves.

Duke Scholars

Published In

Circulation

DOI

ISSN

0009-7322

Publication Date

January 1992

Volume

85

Issue

1

Start / End Page

180 / 187

Location

United States

Related Subject Headings

  • Postoperative Period
  • Postoperative Complications
  • Mitral Valve Stenosis
  • Mitral Valve Insufficiency
  • Mitral Valve
  • Middle Aged
  • Male
  • Humans
  • Female
  • Echocardiography
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Feldman, T., Carroll, J. D., Isner, J. M., Chisholm, R. J., Holmes, D. R., Massumi, A., … O’Neill, W. W. (1992). Effect of valve deformity on results and mitral regurgitation after Inoue balloon commissurotomy. Circulation, 85(1), 180–187. https://doi.org/10.1161/01.cir.85.1.180
Feldman, T., J. D. Carroll, J. M. Isner, R. J. Chisholm, D. R. Holmes, A. Massumi, A. D. Pichard, H. C. Herrmann, S. H. Stertzer, and W. W. O’Neill. “Effect of valve deformity on results and mitral regurgitation after Inoue balloon commissurotomy.Circulation 85, no. 1 (January 1992): 180–87. https://doi.org/10.1161/01.cir.85.1.180.
Feldman T, Carroll JD, Isner JM, Chisholm RJ, Holmes DR, Massumi A, et al. Effect of valve deformity on results and mitral regurgitation after Inoue balloon commissurotomy. Circulation. 1992 Jan;85(1):180–7.
Feldman, T., et al. “Effect of valve deformity on results and mitral regurgitation after Inoue balloon commissurotomy.Circulation, vol. 85, no. 1, Jan. 1992, pp. 180–87. Pubmed, doi:10.1161/01.cir.85.1.180.
Feldman T, Carroll JD, Isner JM, Chisholm RJ, Holmes DR, Massumi A, Pichard AD, Herrmann HC, Stertzer SH, O’Neill WW. Effect of valve deformity on results and mitral regurgitation after Inoue balloon commissurotomy. Circulation. 1992 Jan;85(1):180–187.

Published In

Circulation

DOI

ISSN

0009-7322

Publication Date

January 1992

Volume

85

Issue

1

Start / End Page

180 / 187

Location

United States

Related Subject Headings

  • Postoperative Period
  • Postoperative Complications
  • Mitral Valve Stenosis
  • Mitral Valve Insufficiency
  • Mitral Valve
  • Middle Aged
  • Male
  • Humans
  • Female
  • Echocardiography