Tariq Nawaz, Muhammad Saad Jibran, Zohaib Ullah Zahid, Shawana, Adnan Mehmood Gul.
Immediate outcomes of percutaneous transvenous mitral commisurotomy in patients of rheumatic mitral stenosis.
Pak Heart J Jan ;49(4):186-9.

Objective: To determine the immediate outcome of PTMC in patients of Rheumatic Mitral stenosis. Methodology: This cross sectional study was conducted from 1st January 2011 to 31st December 2016, at Department of Cardiology, Lady Reading Hospital,Peshawar. Patients with severe MS fulfilling the inclusion and exclusion criteria were enrolled in the study. Detailed history and examination was done followed by trans thoracic and trans-esophageal echocardiography. PTMC was performed. Pre and post-PTMC echocardiographic parameters were recorded. Post PTMC complications like moderate to severe mitral regurgitation, stroke, pericardial effusion, new onset arrhythmias and death within 24 hours were also recorded .P<0.05 was taken as significant. Results: Total of 300 patients with mean age of 26.26 +- 11.54 years were enrolled, of which 78 (26%) were males. Mean MVA pre-PTMC was 0.96 +- 0.902 2 cm , dilated successfully to 1.81 +- 0.48 cm (p = 0.000). Immediate complications like moderate MR (30%), severe MR (2%) , CVA (6%), pericardial effusion (0.33%), new onset arrhythmias (8% ) and death (4% ) were observed. Conclusion: Although complications are observed during PTMC but it is a safe and effective procedure in patients of rheumatic mitral stenosis with suitable valve morphology. Key Words: Per cutaneous trans venous mitral commisurotomy. Mitral stenosis.Mitral regurgitation. cerebro-vascular accident. Mitral valve area.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com