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Percutaneous Mitral and Aortic Balloon Valvuloplasty

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Textbook of Cardiovascular Intervention

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Abstract

Before 1982, cardiac surgery was the conventional form of treatment for symptomatic stenotic valvular heart disease lesions. Today, percutaneous balloon dilatation of stenotic cardiac valves is being used in many centers for the treatment of patients with pulmonic, mitral, aortic, and tricuspid stenosis. Since its introduction in 1984 by Inoue et al. percutaneous mitral balloon commissurotomy (PMV) has been used successfully as an alternative to open or closed surgical mitral commissurotomy in the treatment of patients with symptomatic rheumatic mitral stenosis. PMV produces good immediate hemodynamic outcome, low complication rate, and clinical improvement in the majority of patients with mitral stenosis. PMV is safe and effective and provides sustained clinical and hemodynamic improvement in patients with rheumatic mitral stenosis. The immediate and long-term results appear to be similar to those of surgical mitral commissurotomy. Today, PMV is the preferred form of therapy for relief of mitral stenosis for a selected group of patients with symptomatic mitral stenosis.

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Authors and Affiliations

  1. Department of Medicine, Division of Cardiology, Harvard Medical School, Boston, MA, USA

    Igor F. Palacios MD

  2. Interventional Cardiology, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA

    Igor F. Palacios MD

  3. Division of Cardiology, Department of Medicine, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, USA

    Sammy Elmariah MD

  4. Interventional Cardiology & Structural Heart Disease, Cardiology Division, Massachusetts General Hospital, 55 Fruit Street, GBR 800, Boston, MA, 02114, USA

    Dabit Arzamendi MD, MSc

Authors
  1. Igor F. Palacios MD
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  2. Sammy Elmariah MD
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  3. Dabit Arzamendi MD, MSc
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Corresponding author

Correspondence to Dabit Arzamendi MD, MSc .

Editor information

Editors and Affiliations

  1. Department of Medicine, Cardiology Section, Director, Cardiovascular Catheterization and Intervention, Yale New Haven Hospital, Director, Invasive Cardiology and Vascular Medicine,, New Haven, Connecticut, USA

    Craig A. Thompson

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© 2014 Springer-Verlag London

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Palacios, I.F., Elmariah, S., Arzamendi, D. (2014). Percutaneous Mitral and Aortic Balloon Valvuloplasty. In: Thompson, C. (eds) Textbook of Cardiovascular Intervention. Springer, London. https://doi.org/10.1007/978-1-4471-4528-8_26

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  • DOI: https://doi.org/10.1007/978-1-4471-4528-8_26

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  • Online ISBN: 978-1-4471-4528-8

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