36. Examine the Outcomes of Close Mitral Commissurotomy and Compare the Findings with Balloon Mitral Volvotomy in Patients with Mitral Stenosis
Salman Khalid, Khawaja Adnan Younis, Tanvir Ahmed Bhatti and Muhammad
Waqas Javed
ABSTRACT
Objective: To examine the results of closed mitral valvotomy with balloon mitral commissurotomy in patients with rheumatic non calcific mitral stenosis.
Study Design: Comparative/observational study.
Place and Duration of Study: This study was conducted at the Department of Cardiology, Mayo Hospital, Lahore from January 2018 to June 2018.
Materials and Methods: Eighty two patients of both genders with ages 10 to 60 years were enrolled. Patients were categorized into two groups, Group A included 41 patients and treated with closed mitral valvotomy, Group B included 41 patients and treated with balloon mitral commissurotomy. Functional outcomes were examined of both techniques and compared the results. Follow-up was taken at 1 week and at six months after surgical treatment and results were compared.
Results: There were 14 (34.15%) patients were males and 27 (65.85%) were females in group A while in Group B, 20 (48.78%) patients were males and 51.22% were females. Residual atrial septal defect was found in 4 patients at 6 months after balloon mitral commissurotomy. Severe mitral regurgitation was found in 2 patients of closed mitral valvotomy while 6 patients had severe MR of balloon mitral commissurotomy. Urgent mitral valve replacement was performed in 3 patients of balloon mitral commissurotomy. There were 1 mortality found in Group A while 2 in Group B.
Conclusion: Closed mitral valvotomy resulted better outcome as compared to balloon mitral commissurotomy. Closed mitral valvotomy technique had low procedural cost as compared to balloon mital commissurotomy.
Key Words: Balloon mitral commissurotomy, Closed mitral, Rheumatic noncalcific mitralstenosis
Citation of articles: Khalid S, Younis KA, Bhatti TA, Javed MW. Examine the Outcomes of Close Mitral Commissurotomy and Compare the Findings with Balloon Mitral Volvotomy in Patients with Mitral Stenosis. Med Forum 2019;30(6):134-137.