IMMEDIATE OUTCOME AND SAFETY OF REDO PTMC

  • Khurshid Ali Peshawar Institute of Medical Science, Peshawar Pakistan
  • Sajjad Ahmad Punjab Institute of Cardiology, Lahore Pakistan
  • Ariz Samin Punjab Institute of Cardiology, Lahore Pakistan
  • Samra Yasmin Punjab Institute of Cardiology, Lahore Pakistan
  • Zameer Ul Ahsan Armed Forced Institute of Cardiology/National Institute of Heart Diseases/National University of Medical Science (NUMS) Rawalpindi Pakistan
  • Muhammad Amad Abbasi Punjab Institute of Cardiology, Lahore Pakistan
  • Hajra Bibi Women Medical and Dental College, Abbottabad Pakistan
  • Filza Tariq Punjab Institute of Cardiology, Lahore Pakistan
  • Javeria Kamran Punjab Institute of Cardiology, Lahore Pakistan
  • Naseer Ahmed Samore Punjab Institute of Cardiology, Lahore Pakistan
Keywords: Mitral stenosis, Percutaneous transvenous mitral commissurotomy, Rheumatic heart disease, Re-do percutaneous transvenous mitral commissurotomy, Mitral regurgitation

Abstract

Objective: To assess and compare the immediate procedural success of percutaneous transvenous mitral commissurotomy and safety in those patients who had undergone a prior percutaneous transvenous mitral commissurotomy.

Study Design: Single-center, retrospective study.

Place and Duration of Study: Angiography department, Punjab Institute of Cardiology, Lahore, from Jan 2019 to Jun 2020.

Methodology: Medical records of all those patients who underwent redo percutaneous transvenous mitral commissurotomy (PTMC) were included. Mitral valve area (MVA), left atrial (LA) pressure, pulmonary artery systolic pressure (PASP), and mitral regurgitation (MR) were compared before and after procedure.

Results: There were 39 patients 22 (56%) males and 17 (44%) females with a mean age 37.15 ± 2.63 enrolled age range between 25-45 years. The difference in left atrial pressure, mitral valve area and pulmonary artery systolic pressure between pre and post redo percutaneous transvenous mitral commissurotomy was statistically significant (p-value=0.001).

Conclusion: Redo percutaneous transvenous mitral commissurotomy is a feasible and safe procedure in significant mitral restenosis. The results are optimal with acceptable morbidity and mortality.

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Published
2021-12-07
How to Cite
Ali, K., Ahmad, S., Samin, A., Yasmin, S., Ahsan, Z., Abbasi, M., Bibi, H., Tariq, F., Kamran, J., & Samore, N. (2021). IMMEDIATE OUTCOME AND SAFETY OF REDO PTMC. Pakistan Armed Forces Medical Journal, 71(Suppl-2), S301-04. Retrieved from https://mail.pafmj.org/index.php/PAFMJ/article/view/7779
Section
Original Articles