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Heart - Lung (Varna)

Mitral stenosis and percutaneous balloon mitral valvuloplasty

B. Karatancheva, N. Stoyanov, E. Kostov, V. Velchev, A. Postadzhiyan, B. Finkov

Abstract

Rheumatic fever, which is the most common etiology of mitral valve stenosis (MS) is significantly decreased in industrialized countries: however, the mitral stenosis still results in significant morbidity and mortality worldwide. MS is a mechanical obstruction of the mitral valve opening  (MVO) causing difficulty in filling the left ventricle (LV) and the only definitive treatment is mechanical removal of the obstruction. Three procedures have proven over time to be effective in providing such therapy. These are: percutaneous balloon mitral valvuloplasty (PBMV), open commissurotomy and mitral valve prosthesis. As clinical studies found that PBMV excels the surgical commissurotomy, the latter procedure is at a large extend not performed. The purpose of this review is the definition of patient selection and description of percutaneous balloon mitral valvuloplasty as the most popular method for the treatment of MS in most parts of the world.


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DOI: http://dx.doi.org/10.14748/hl.v20i3-4.1490

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