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Percutaneous Transvenous Mitral Commissurotomy for Patients with Rheumatic Heart Disease.
Int Heart J
January 2025
Department of Cardiac Surgery Center, Beijing Anzhen Hospital, Beijing Institute of Heart, Lung, and Blood Vascular Diseases, Capital Medical University.
Rheumatic heart disease remains common in developing countries. Current guidelines recommend percutaneous mitral commissurotomy (PTMC) as the preferred treatment for patients with rheumatic mitral stenosis (MS). This study reports the clinical outcomes of PTMC for rheumatic MS in contemporary Chinese patients and analyzes prognostic factors.
View Article and Find Full Text PDFNew Technique of Commissural Reconstruction: "Ship Technique" in Rheumatic Mitral Repairs.
Ann Thorac Surg Short Rep
September 2024
Department of Medicine, BronxCare Health System, Bronx, New York.
The commissures are the supporting unit for the leaflets, and they play a vital role in the diastolic and systolic functioning of the mitral valve. This report describes the "ship technique" of commissural reconstruction in rheumatic mitral stenosis repairs. The technique overcomes gradients that are often encountered with limited commissurotomy and residual leaks observed with extended commissurotomy.
View Article and Find Full Text PDFPediatric cardiac interventions: Innovations from India.
Ann Pediatr Cardiol
November 2024
Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India.
India, owing to its population structure, faces an enormous burden of children born with congenital heart disease (CHD). Systematic challenges such as limited public health infrastructure, a shortage of trained specialists, and high out-of-pocket expenditures hinder uniform access to comprehensive CHD care. Despite these limitations, Indian pediatric cardiologists have delivered innovative and often cost-effective solutions to challenging clinical problems.
View Article and Find Full Text PDFThe Modified History of Juvenile Rheumatic Mitral Stenosis Following Percutaneous Transmitral Commissurotomy: Intermediate-Term Outcomes From a Decadal Follow-Up Study.
Heart Lung Circ
January 2025
Department of Pediatric Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, India.
Aim: There are few studies that have looked at the long-term outcomes of juvenile mitral stenosis (JMS) following percutaneous transmitral commissurotomy (PTMC). This study sought to analyse the modified history of JMS in children following PTMC.
Method: We describe a longitudinal, observational follow-up study of all children and young adults aged <20 years who underwent PTMC at Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, India from 2012 to 2021.
Severe Rheumatic Mitral Stenosis During Pregnancy.
JACC Case Rep
October 2024
Department of Internal Medicine, School of Medicine, and Hospital das Clínicas, Belo Horizonte, Brazil.
A 28-year-old woman, gravida 2 para 1, with previously unknown severe rheumatic mitral stenosis presented with progressive dyspnea at 26 weeks of gestation. Percutaneous commissurotomy was considered but was deferred after symptom improvement with beta-blockers and diuretics. Pregnancy complications ensued, requiring preterm delivery.
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