an 80-year-old diabetic man with severe aortic stenosis was admitted to our hospital for cardiogenic shock complicating non-st-elevation myocardial infarction. echocardiographic evaluation showed also a severe degree of both left ventricular dysfunction and mitral regurgitation. the patient was initially stabilized with inotropes and mechanical ventilation was necessary because of concurrent pu...

We describe a rare case of permanent pacemaker implantation in a pregnant woman with rheumatic mitral valve disease previously undergoing percutaneous balloon valvuloplasty. She presented symptomatic advanced atrioventricular block of non-reversible cause and manifest in the third trimester of gestation.

308 As technology advances resulted in more effective percutaneous approaches to the treatment of valvular stenosis, the terminology used to describe these procedures evolved as well. The term “commissurotomy” originated from the surgical procedure developed for commissural mitral valve stenosis (see chapter 34), and some thought valvuloplasty should be reserved for surgical procedures that mor...

Valvuloplasty: The Chinese Experience To the Editor: We are writing in support of the conclusions reached by Iung et al1 concerning the late results of percutaneous balloon mitral valvuloplasty (PBMV). The French experience confirmed the Chinese experience that was reported earlier with a larger number of patients, namely, a PBMV can be performed with good late results in a variety of patient s...

Several diseases have been acknowledged as pathological causes for mitral valve stenosis (MS), of which rheumatic heart disease is the most prevalent. Rheumatic heart disease is a chronic manifestation of rheumatic carditis, which occurs in 60% to 90% of cases of rheumatic fever. Rheumatic fever is a late sequela to Group A -hemolytic streptococcal infection of the throat. The initial rheumatic...

the most common rheumatic valvular lesion encountered in pregnant patients is mitral stenosis. the clinical presentation of mitral stenosis in pregnancy is further complicated by the physiological increases in cardiac output and blood volume occurring during pregnancy that make the pregnant patient with this valvular disease more susceptible to decompensation. We report a case of a 35-year-old ...

OBJECTIVES The goal of this study was to evaluate the role of percutaneous aortic valvuloplasty in patients with cardiogenic shock due to severe aortic stenosis and associated major comorbid conditions and to establish predictors of survival. BACKGROUND The prognosis for patients in cardiogenic shock with severe aortic stenosis is poor. Aortic valve replacement can be lifesaving, but the pres...

transluminal balloon valvuloplasty is an alternative to surgical valvotomy for congenital pulmonary valve stenosis. the aim of this study was to evaluate the long term results (to 13.5 years) of balloon pulmonary valvuloplasty. from june 1998 to january 2012, percutaneous balloon pulmonary valvuloplasty for congenital pulmonary valve stenosis was performed in 98 patients (50 males, 48 females, ...

PURPOSE To compare immediate and late (12 months) follow-up of clinical and Doppler echocardiographic results between percutaneous mitral balloon valvuloplasty and open commissurotomy in a prospective and randomized trial. METHODS Eighty eight symptomatic patients with severe mitral stenosis and favorable anatomy were randomized in a prospective trial comparing the two procedures. All patient...