The Outcome of Tricuspid Regurgitation after Mitral Balloon Valvutomy for Severe Mitral Stenosis

S  Ghaffari; R  Salehi; M  Goldost Juibary; Mohsen Abbasnejad

International Cardiovascular Research Journal

The Official Annually Journal of Cardiovascular Research Center, Shiraz University of Medical Sciences

Current Issue All Issues In Press Accepted Manuscripts Search

Journal Information Boards & Committees Indexing and Listing Sources Journal Metrics Publication Ethics and Publication Malpractice Statement Reviewer and AE Registration Form Support Contact Us

APC

Authors Guide Submit Manuscript

The Outcome of Tricuspid Regurgitation after Mitral Balloon Valvutomy for Severe Mitral Stenosis

Author(s):

S Ghaffari¹,

R Salehi¹,

M Goldost Juibary¹,

Mohsen Abbasnejad^1,*

1Department of Cardiovascular Research, Tabriz university Of Medical Sciences, Tabriz, Iran, Iran

International Cardiovascular Research Journal:Vol. 3, issue 4; e67878

Published online:Dec 31, 2018

Article type:Research Article

Received:Feb 26, 2018

Accepted:Dec 31, 2009

How to Cite:Ghaffari S, Salehi R, Goldost Juibary M, Abbasnejad M. The Outcome of Tricuspid Regurgitation after Mitral Balloon Valvutomy for Severe Mitral Stenosis. Int Cardiovasc Res J. 2009;3(4):e67878. doi:

Abstract

Background: Severe mitral stenosis is occasionally associated with significant tricuspid regurgitation (TR)
and this association has an adverse impact on morbidity and mortality in patients undergoing mitral valve intervention.
However, the effect of successful mitral balloon valvotomy (MBV) on significant TR is not fully
elucidated. The aim of this study was to investigate the course of TR after MBV in patients with severe mitral
stenosis with TR.
Methods: The present study was performed in Tabriz Madani heart center from March 2007 to February 2008.
Among 110 patients with mitral stenosis who were candidates of MBV, 68 cases with more than mild TR were
selected and the fate of TR after MBV and its predictors were evaluated.
Results: Among 68 patients who were enrolled in this study, 58 individuals (85.3%) were female with mean age
of 36.85± 14.32 years. Before intervention, 48 patients (70.6%) had severe TR and 20 (29.4%) cases had moderate
TR. After intervention, 14 patients suffered from mild TR, 22 from moderate TR and 32 patients from severe
TR (P<0.05). There were significant changes in mitral valve area (MVA) (from 0.82±0.22 to 1.70±0.21 cm2;
P<0.0005) and pulmonary artery systolic pressure (PASP) (from 53.00±12.04 to 34.91±11.26 cm2; P<0.0005)
and right ventricle dimension (RVD) varying from 2.97±0.64 to 2.20±0.58 cm; P<0.0005). This study showed
significant relationship between MVA, RVD, and PASP as TR regression determinants. In 6-month follow up
no patient needed mitral valve surgery or repeated MBV. There was no procedure related mortality and no death
was seen in 6 months follow up in the study group. Significant decrease of symptoms was observed in almost all
patients after intervention which persisted during follow up period.
Conclusions:Significant number of patients with severe MS and moderate or severe TR showed TR regression
following MBV which persisted during 6 months follow up. Severity of MS, PASP and RVD were most important
predictors of this regression.

Keywords

Mitral Balloon Valvotomy

Mitral Stenosis

Tricuspid Insufficiency

Pulmonary Hypertension

Fulltext

The full text is available in PDF.

References

1.
The references are available in PDF.

Short-term Changes in Aortic Regurgitation after Percutaneous Mitral Valvuloplasty

sedigheh saedi,

Mona Heidarali,

Tehereh Saedi,

Homman Bakhshandeh Abkenar,

Mohammad Ali Sadr-Ameli

1

Sep

2020

Immediate and Short-Term Impacts of Successful Percutaneous Transvenous Mitral Commissurotomy on Right Ventricular Function

Saman Rostambeigi,

Azin Alizadehasl,

Hossein Mahmoudian,

Hamidreza Sanati,

Zohre Mohammadi

12

Mar

2022

The Impact of Transcatheter Aortic Valve Replacement on Mitral Regurgitation and Pulmonary Hypertension

Azin Alizadehasl,

Ata Firouzi,

Zohre Rahbar,

zahra hosseini,

Vajiheh Dorosti,

Yasaman Khalili

,et al.

23

Sep

2018

Clinical Hemodynamic and Echocardiography Data Analysis for Patients with Mitral Stenosis Before and After PTMC Procedure at Rajaie Cardiovascular Center Between 2015 and 2016

Majid Kiavar,

Azin Alizadehasl,

Anita Sadeghpour,

Elham Pirouz,

Mohammad Mehdi Peighambari,

Ata Firouzi

,et al.

1

Sep

2018

Heart Function and Remodeling after Successful Balloon Valvuloplasty for Congenital Aortic Stenosis in Children

Hamid Amoozgar,

Hamid Mohammadi,

Farid Sharivar,

Mohammad Borzoee,

Gholamhossein Ajami,

Mohammadreza Edraki

,et al.

Import into EndNote Import into BibTex

Share on

Comments

Number of Comments:0

Cited by

Scopus by DOI: 0
Last Update: 3 weeks ago
Scopus by Title: 1
Last Update: 3 weeks ago
Scopus by Title (Ref): 0
Last Update: 3 weeks ago
CrossRef: 0
Last Update: 1 day ago

Metrics

Ordering Reprints

Articles are published under the Creative Commons license stated on each article. No permission or royalty fee is required for uses permitted by that license. CCC handles optional bulk and customized reprint orders. Any quotation covers production and delivery services only, not copyright permission. > Request Reprints from CCC

Search Relations

Author(s):

S Ghaffari:[PubMed][Scholar]
R Salehi:[PubMed][Scholar]
M Goldost Juibary:[PubMed][Scholar]
Mohsen Abbasnejad:[PubMed][Scholar]

The Official Annually Journal of Cardiovascular Research Center, Shiraz University of Medical Sciences

Outlines

The Outcome of Tricuspid Regurgitation after Mitral Balloon Valvutomy for Severe Mitral Stenosis

Abstract

Fulltext

References

Similar Articles

Short-term Changes in Aortic Regurgitation after Percutaneous Mitral Valvuloplasty

Immediate and Short-Term Impacts of Successful Percutaneous Transvenous Mitral Commissurotomy on Right Ventricular Function

The Impact of Transcatheter Aortic Valve Replacement on Mitral Regurgitation and Pulmonary Hypertension

Clinical Hemodynamic and Echocardiography Data Analysis for Patients with Mitral Stenosis Before and After PTMC Procedure at Rajaie Cardiovascular Center Between 2015 and 2016

Heart Function and Remodeling after Successful Balloon Valvuloplasty for Congenital Aortic Stenosis in Children

Last Update: 3 weeks ago

Last Update: 3 weeks ago

Last Update: 3 weeks ago

Last Update: 1 day ago