Abstract
Mitral stenosis (MS) has a well-established female predominance and, although now rare in developed countries, continues to be responsible for a large burden of disease worldwide due to its association with rheumatic fever, which is still endemic in the developing world. Despite the ease of investigation and management, it remains an important cause of morbidity. Percutaneous balloon mitral valvuloplasty (PBMV) is the gold standard in the management of these patients, commonly by the Inoue or double-balloon technique. There are anatomical and technical considerations that need to be taken into account during mitral valvuloplasty in women. Compared with males, females have a larger pre-procedural mitral valve area (MVA), less calcification and more favourable anatomy which may affect decisions on balloon sizing. Unique to women, special consideration needs to be made when considering mitral valvuloplasty during pregnancy. Echocardiography, and increasingly 3D echocardiography, is the cornerstone of patient assessment and its use to select patients with appropriate anatomy and leads to very good short- and long-term outcomes.
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Beska, B., Eggett, C., Kunadian, V. (2017). Mitral Valvuloplasty for Mitral Stenosis. In: Presbitero, P., Mehilli, J., Petronio, A. (eds) Percutaneous Treatment of Cardiovascular Diseases in Women. Springer, Cham. https://doi.org/10.1007/978-3-319-39611-8_9
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