Percutanceous Mitral Commissurotomy at Maharat Naharat Nakhon Ratchasima Hospital : Personal Experience

Abstract

Background:    Percutaneous balloon mitral commissurotomy has been accepted to be effective and more economic as compared with surgery. Within 1-2 days after procedurd, the patients can be discharged and start working immediately. Aim: To report the efficacy of Percutaneous balloon mitral commissurotomy in Maharat Nakhon Ratchasima Hospital during 1999-2001. Patient & Methods: Retrospective study of this procedure was performed. The patients must be suitable for this procedure and mitral score must be 8 or less. Results: Within 2 years there were 44 cases of rheumatic mitral stenosis treated. The patients comprised 6 males (13.6%) and 38 females with 2 pregnancies (86.4%), mean age 38±5.9 vears, functional class III in most cases. The successful rate was 936 percent (41 cases), ie. the marked improvement of pressure in pulmonary arteries and left atrium and of pressure gradient between left atrium and left ventricle. There were less complications, 2 cardiac temponade (4.6%), 1severe mitral regurgitation (2.3%), no death nor stroke. After 6 months follow up they persistently achieved good quality of life. Conclusion: Percutaneous balloon mitral commissurotomy was successfully performed in this hospital with suitable procedure time and acceptable complications.