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Immediate and short-time outcomes of pulmonary valvuloplasty in a fetus with pulmonary atresia

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Chinese Medical Journal 2019年第14期132卷 1758-1759页

作者： Gang Luo Na Liu Kui-Liang Wang Yue Sun Ai Zhang Si-Lin Pan Heart Center Qingdao Women and Children's HospitalQingdaoShandong 266034China Fetal Medicine Unit Qingdao Women and Children's HospitalQingdaoShandong 266034China

To the Editor:The incidence of pulmonary atresia with intact ventricular septum (PA/IVS) is 1.9% in congential heart *** most serious manifestation is hypoplastic right heart syndrome (HRHS).HRHS and low birth weight have been determined as the major risk factors of fetal death after *** pulmonary valvuloplasty (FPV) could relieve obstruction of the right ventricular outflow tract,restore growth potential of right ventricle,and increase the chances of biventricular ***,so far fewer than 70 HRHS cases have been reported at the International Fetal Cardiac Intervention Registry (http://***/) and there is a lack of postnatal treatment experience.

关键词： pulmonary valvuloplasty pulmonary atresia hypoplastic right heart syndrome (HRHS)

Balloon Mitral valvuloplasty in Rheumatic Double Orifice Mitral Valve

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World Journal of Cardiovascular Diseases 2015年第10期5卷 296-302页

作者： Mayur Jain Neerav Panchani No Bansal Bhanu Duggal Department of Cardiology Grant Medical College and Sir J.J. Group of Hospitals Mumbai India

We are reporting four cases of acquired double orifice mitral valve (DOMV) of rheumatic etiology (rare) presenting as significant mitral stenosis (MS) treated successfully by percutaneous intervention. All four patients are young (3 males, 1 female) who presented with dyspnea of Newyork heart association (NYHA) class II with mean duration of 1.3 years. Typical clinical findings of MS were present in all. Echocardiography confirmed the diagnosis of moderate to severe MS of rheumatic etiology with double orifice of mitral valve of Trowitzsch incomplete bridge variety [1], giving appearance of two equal (like a pair of spectacles in one patient) or unequal size orifices (in three patients) in parasternal short axis view. Color Doppler examination revealed separate jets originating from each orifice, determined severity of the lesion and evaluated the eligibility for balloon mitral valvuloplasty (BMV). BMV was carried out under transeosophagial echo (TEE) guidance (for perfect septal puncture and crossing the separate orifices) using Inoue balloon of appropriate size (in accordance with patient’s height) with intention to break central fibrous strand converting into a single orifice. All four patients underwent successful BMV (clinical & ECHO criteria) after dilating the separate orifices (except case 4) but the fibrous strand could not be broken. Hence, this study shows that good results can be obtained in acquired double orifice mitral valve with significant MS with BMV even without breaking the fibrous strand. Considering rarity of isolated DOMV cases and rheumatic etiology being very rare, this report of four rheumatic acquired DOMV cases with successful BMV done with good result is significant.

关键词： Rheumatic valvuloplasty Mitral Stenosis DOMV

Outcomes of balloon mitral valvuloplasty for rheumatic mitral stenosis during pregnancy

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South China Journal of Cardiology 2019年第2期20卷 63-68,78页

作者：吴淑燕韩凤珍 Guangdong Provincial People’s Hospital Guangdong Academy of Medical Science School of Medicine South China University of Technology

Background Rheumatic mitral stenosis is the most common acquired valvular heart disease encountered during *** mitral valvuloplasty(BMV)is one of the treatment options if the symptoms are refractory to the medical management and the valve anatomy is suitable for balloon *** studies on BMV and its effect on pregnancy outcomes and neonates are *** All pregnant women with severe symptomatic isolated mitral stenosis who underwent elective BMV in our institute from January 2000 to December 2018 were analyzed ***,haemodynamic and echocardiographic outcomes immediately after the procedure were *** This study involved twenty-seven pregnant women in whom BMV was *** procedure was successful in 26 patients(96.29%).There were significant changes after BMV in the measured 2D MVA,pulmonary arterial systolic pressure and the mean left atrial pressure(P<0.01).Post-procedure follow-up showed an improvement in NYHA status by at least one class in 85.19%(25/27)*** the cases of mitral valve regurgitation,the area of mitral valve regurgitation increased significantly after the procedure(P<0.01).Four(19.05%)patients had a full-term normal vaginal delivery and seventeen(80.95%)underwent cesarean section for obstetric *** patients had abortions after the *** the procedure,only one patient had severe mitral regurgitation after the procedure and nine patients had moderate mitral regurgitation,and the rest had either no mitral regurgitation or mild mitral *** improvement was noted in all of the patients with on maternal and fetal complications except one case of *** Percutaneous BMV is safe and effective in providing excellent symptomatic relief and hemodynamic improvement for pregnant patients with mitral stenosis.

关键词： mitral stenosis pregnancy balloon mitral valvuloplasty

Clinical　outcome　of　percutaneous　balloon　mitral　valvuloplasty　in　103　patients

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Journal of Medical Colleges of PLA(China) 1995年第3期10卷 176-181页

作者：翁昌鸿李崇信侯玉清龚渭冰宾建平贾满盈牛序芳谢志斌刘伊丽

Percutaneous balloon mitral valvuloplasty (PBMV) was performed in 103 consecutive patients with rheumatic mitral stenosis. PBMV was accomplished in 99 patients. Singnificant symptomatic improvement was achieved in 98 ... 详细信息

关键词： percutaneous balloon mitral valvuloplasty clinical outcome

IMPORTANCE　OF　ATRIAL　CONTRIBUTION　TO　LEFT　VENTRICULAR　FILING　IN　MITRAL　STENOSIS　BEFORE　AND　AFTER　BALLOON　valvuloplasty

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Medical Bulletin of Shanghai Jiaotong University 1995年第2期18卷 32-35页

作者：于金德龚兰生沈卫峰

ＩＭＰＯＲＴＡＮＣＥＯＦＡＴＲＩＡＬＣＯＮＴＲＩＢＵＴＩＯＮＴＯＬＥＦＴＶＥＮＴＲＩＣＵＬＡＲＦＩＬＩＮＧＩＮＭＩＴＲＡＬＳＴＥＮＯＳＩＳＢＥＦＯＲＥＡＮＤＡＦＴＥＲＢＡＬＬＯＯＮＶＡＬＶＵＬＯＰＬＡＳＴＹＹｕＪｉｎ... 详细信息

ＩＭＰＯＲＴＡＮＣＥＯＦＡＴＲＩＡＬＣＯＮＴＲＩＢＵＴＩＯＮＴＯＬＥＦＴＶＥＮＴＲＩＣＵＬＡＲＦＩＬＩＮＧＩＮＭＩＴＲＡＬＳＴＥＮＯＳＩＳＢＥＦＯＲＥＡＮＤＡＦＴＥＲＢＡＬＬＯＯＮＶＡＬＶＵＬＯＰＬＡＳＴＹＹｕＪｉｎｄｅ（于金德）；ＧｏｎｇＬａｎｓｈ...

关键词： balloon valvuloplasty mitral stenosis atrial contribution

Prognosis and outcome of intrauterine treatment of fetuses with critical congenital heart disease

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Chinese Medical Journal 2024年第12期137卷 1431-1436页

作者： Liqing Zhao Lei Wang Hongping Xia Yurong Wu Xianting Jiao Hong Zhu Sun Chen Kun Sun Department of Pediatric Cardiology Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of MedicineShanghai 200092China Department of Diagnosis and Treatment Center for in utero Pediatric Disease Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of MedicineShanghai 200092China Department of Neonatology Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of MedicineShanghai 200092China

Background:Intrauterine valvuloplasty is an innovative therapy,which promotes ventricular growth and function in some congenital heart diseases(CHDs).The technique remains challenging and can only be performed in a few *** study aimed to assess the feasibility and mid-term outcomes of fetal cardiac intervention(FCI)in fetuses with critical CHD in an experienced tertiary ***:Five fetal aortic valvuloplasty(FAV)or fetal pulmonary valvuloplasty(FPV)procedures were performed in our fetal heart center between August 2018 and May *** success was defined as crossing the aortic or pulmonary valve and balloon inflation,followed by evidence of increased blood flow across the valve and/or new ***-up clinical records and echocardiography were obtained during the prenatal and postnatal ***:Five fetuses received FAV or FPV,including critical aortic stenosis(n=2)and pulmonary atresia with intact ventricular septum(n=3).The mean maternal age was 33.0±2.6 *** median gestational age(GA)at diagnosis was 24 weeks(range,22-26 weeks).The median GA at intervention was 29 weeks(range,28-32 weeks).All five cases underwent successful or partially successful *** patient had pulmonary valve perforation without balloon *** procedure-related deaths or significant complications ***,one neonatal death occurred due to heart and renal *** median follow-up period was 29.5 months(range,8.0-48.0 months).The four surviving patients had achieved biventricular circulation,exhibited improved valve,and ventricular development at the last follow-up ***:Intrauterine FCI could be performed safely with good prognosis in critical CHD.

关键词： Fetal cardiac intervention valvuloplasty Pulmonary atresia Critical aortic stenosis Congenital heart disease

Clinical experience of percutaneous m itralballoon valvuloplastyin 350 casesin Chinese and long term follow-up

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医学研究生学报 1999年第S1期12卷 1-9页

作者： JIANG Shi sen(江时森), SHAO Yin(邵莹), XU Jun(徐军) Department of Cardiolgy, Nanjing General Hospital of PLA, Nanjing 210002, China)

Objectives: This study is to introduce of the clinical experience of percutaneous mitral balloon valvuloplasty 350 cases in Chinese and the long term follow up. Method: The modfied Inoue method was performed. Results: Effective PBMV was performed in 344 cases, the success rate was 98.3%:mitral area assessed by 2 dimenrional echocardiography (1.11±0.29 to 2.19 ±0.40cm 2, P <0.01 ). One hundrad and five patients were followed at a mean (46.7± 26.3 ) months (range 9 months to 8.5 years). after procedure restenosis was 11.4%(12/15), death 2.9 %(3/105, cerebral embolism in 2, congestive heart failure in 1; mitral valve replacement in 3.8%(4/105). Conclusions: percutaneous mitral commissurotomy provided excellent immediate and lale clinical results.

关键词： Mitral stenosis Balloon valvuloplasty echocardiography

Mitral Valve Commissurotomy: Which One between the Three Techniques Gives a Better Long-Team Outcome?

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World Journal of Cardiovascular Diseases 2017年第2期7卷 37-45页

作者： Mahdi Aithoussa Noureddine Atmani Ayoub Abetti Mehdi Bamous Abdessamad Abdou Younes Moutakiallah Anis Seghrouchni Fouad Nya Siham Bellouize Mohamed Drissi Ilyas Asfalou Abdelatif Boulahya Department of Cardiac Surgery Mohamed V Military Hospital Mohammed V University Rabat Morocco Department of Cardiology Mohamed V Military Hospital Mohammed V University Rabat Morocco

Objective: we sought to compare long-term results of three techniques: CMC, OMC and PMC in patients with rheumatic mitral stenosis. Patients and Method: Between January 1994 and December 2015, 183 patients underwent mitral valve surgery for rheumatic mitral restenosis. All patients were investigated by echocardiography-Doppler performed by a senior cardiologist. The patients were divided into 3 groups: patients who have previously closed mitral commissurotomy (CMC n = 101), patients with previously open mitral commissurotomy (OMC n = 28) and those treated by Balloon mitral valvuloplasty (PMC = 54). Results: The three groups were comparable in term of major demographic data. Mitral restenosis occurred precociously in groups treated by PMC (7 ± 4 years), followed by group with OMC 11.4 ± 4 years and CMC group but it occurred later CMC 16.8 ± 7.8 years (p Conclusion: CMC produces better long-term outcome than OMC and PMC. However, it would be premature to conclude to its superiority.

关键词： Rheumatic Mitral Stenosis Closed Mitral Commissurtomy Open Mitral Commissurotomy Balloon Mitral valvuloplasty

Can we still learn from single center experience after PARTNER?

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World Journal of Cardiology 2013年第3期5卷 15-17页

作者： Benoit Daneault Tamas Z Fulop Paul Farand Division of Cardiology Centre Hospitalier Universitaire de Sherbrooke

With the publication of the Placement of Aortic Transcatheter Valves (PARTNER) trial, transcatheter aortic valve replacement (TAVR) has undoubtedly become the gold standard for severe aortic stenosis in patients that are not suitable candidate for surgical aortic valve replacement (AVR). The PARTNER trial also showed that TAVR is non-inferior to AVR in high-risk patients. A recent publication by Ben-Dor et al evaluated the outcome of high-risk patients with severe aortic stenosis who were referred to their institution for participation to the PARTNER trial. Only a minority of patients made it in the trial and the majority of patient ended being treated medically. Some patients were also treated with AVR outside the trial. The outcomes of all these patients were stratified by the treatment they received (AVR, TAVR or medical therapy with or without balloon aortic valvuloplasty). The 3 groups were different in their baseline characteristics. Ben-Dor et al found that patients treated medically had greater mortality than patients treated with TAVR or AVR. The survival of patients treated with TAVR was similar to those treated with AVR. Independent predictors of mortality were also found from their analysis. In this commentary, we discuss the finding of this study and compare it withthe current literature.

关键词： Aortic stenosis Transcatheter aortic valve replacement Aortic valve replacement Balloon aortic valvuloplasty