Reversal of abnormal cardiac parameters following mitral valve replacement for severe mitral stenosis- in relation to pulmonary artery pressure-A retrospective study of noninvasive parameters

Background: Mitral stenosis is often present with pulmonary hypertension. Closed Mitral Commissurotomy (CMC) is a treatment of choice for severe mitral stenosis. In this study, we examined the per-operative changes of pulmonary artery pressure following opening of stenosed mitral valve. Methods: All these CMCs were performed routinely through the left antero-lateral thoracotomy (4th intercostal space) and dilatation was done by metallic Tubb’s Dilator. Peroperative left atrial and Pulminary Arterial pressures were measured before and after dilatation. Results: 15 patients had undergone CMC. Following CMC, per-operative mean Pulmonary artery pressure was reduced from 45.5±7.1 mm of Hg to 39.0±8.8 mm of Hg (p=0.043). Mean left atrial pressure reduced from 35.9±5.6 mm of Hg to 30.0±9.1 mm of Hg (p = 0.049). At three months follow up after closed mitral commissurotomy mitral valve area at echocardiography was found 2.29±0.18 cm2. There was no case of death after closed mitral commissurotomy. Mild mitral regurgitation occurred in 1 patient. Conclusion: We conclude that there is immediate significant reduction of pulmonary Artery pressure following closed mitral commissurotomy. This reduction is apparently comparable with a similar reduction of left atrial pressure. Cardiovasc. j. 2019; 11(2): 147-151

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Mitral Valve Resistance as a Determinant of Resting and Stress Pulmonary Artery Pressure in Patients with Mitral Stenosis: A Dobutamine Stress Study

Journal of the American Society of Echocardiography ◽

10.1016/j.echo.2007.02.006 ◽

2007 ◽

Vol 20 (10) ◽

pp. 1160-1166 ◽

Cited By ~ 19

Author(s):

Cemil Izgi ◽

Nihal Ozdemir ◽

Cihan Cevik ◽

Olcay Ozveren ◽

Ruken Bengi Bakal ◽

...

Keyword(s):

Mitral Valve ◽

Pulmonary Artery ◽

Pulmonary Artery Pressure ◽

Mitral Stenosis ◽

Dobutamine Stress ◽

Artery Pressure ◽

Stress Study

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Balloon Mitral Valvotomy in Gestational Women with Symptomatic Mitral Stenosis

Cardiology and Angiology An International Journal ◽

10.9734/ca/2020/v9i330134 ◽

2020 ◽

pp. 1-7

Author(s):

Prem Krishna Anandan ◽

Arun Kaushik ◽

K. Tamilarasu ◽

G. Rajendran ◽

Shanmuga Sundaram ◽

...

Keyword(s):

Mitral Valve ◽

Pulmonary Artery ◽

Pulmonary Artery Pressure ◽

Mitral Stenosis ◽

Intrauterine Growth Restriction ◽

Mitral Valvuloplasty ◽

Artery Pressure ◽

Mitral Valve Area ◽

Mitral Valvotomy ◽

Valve Area

Background: Rheumatic valvular heart disease, commonly mitral stenosis, complicate 1% of pregnancies. Balloon mitral valvuloplasty (BMV) is an established treatment of rheumatic mitral stenosis. Aim of the study was to assess the safety and efficacy of Balloon mitral valvuloplasty in pregnant women with severe mitral stenosis. Materials and Methods: 66 patients who failed to respond to medical therapy undergoing BMV during pregnancy were analysed in this retrospective study. Mitral valve area (MVA), transmitral Mean valve gradient (MVG), and mitral regurgitation (MR), Pulmonary artery pressure (PAP) were assessed before and 24 hours after the procedure by transthoracic echocardiography. Patients were followed up to one month post BMV and neonates were monitored for the adverse effect of radiation. Results: Mitral valve area increased from 0.83 ± 0.13 cm2 to 1.38 ± 0.29 cm2 (P = 0.007). Mean gradient mitral valve gradient decreased from 15.5 ± 7.4 mmHg to 3.36 ± 2.36 mmHg (P = 0.001). Pulmonary artery pressure decreased from 65.24 ± 17.9 to 50.45 ± 15.33 (P = 0.012). No maternal death, intrauterine growth restriction was observed. Conclusion: Balloon mitral valvuloplasty has favourable immediate good outcomes for mothers and newborns.

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Case of rheumatic mitral stenosis with bilateral coronary artery fistula to pulmonary artery: A rare entity

Journal of Cardiovascular and Thoracic Research ◽

10.34172/jcvtr.2021.13 ◽

2021 ◽

Vol 13 (2) ◽

pp. 176-178

Author(s):

Manish Jawarkar ◽

Pratik Manek ◽

Mausam Shah ◽

Vivek Wadhawa ◽

Chirag Doshi ◽

...

Keyword(s):

Coronary Artery ◽

Mitral Valve ◽

Pulmonary Artery ◽

Valve Replacement ◽

Mitral Valve Replacement ◽

Mitral Stenosis ◽

Main Pulmonary Artery ◽

Coronary Artery Fistula ◽

Post Operative Period ◽

Pulmonary Artery Fistula

Coronary to pulmonary artery fistula is a rare form of congenital coronary artery anomaly. Majority of coronary arteriovenous fistula detected incidentally on coronary angiography. Although, most of these patients are asymptomatic, larger fistulae can produce symptoms of heart failure. Here we present a rare case of 61-year-old female who presented primarily for mitral valve replacement for severe mitral stenosis. On screening angiography, there were two fistula arising from both right and left coronary artery and draining in to the main pulmonary artery. The patient was operated and mitral valve replacement with closure of the fistula. Patient had an uneventful post-operative period and was discharged on 7 the post-operative day.

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