Relationship Between Valve Calcification and Long-Term Results of Percutaneous Mitral Commissurotomy for Rheumatic Mitral Stenosis Claire Bouleti, Bernard Iung, Dominique Himbert, David Messika-Zeitoun, Eric Brochet, Eric Garbarz, Bertrand Cormier and Alec Vahanian Circ Cardiovasc Interv. 2014;7:381-389; originally published online April 29, 2014; doi: 10.1161/CIRCINTERVENTIONS.113.000858 Circulation: Cardiovascular Interventions is published by the American Heart Association, 7272 Greenville Avenue, Dallas, TX 75231 Copyright © 2014 American Heart Association, Inc. All rights reserved. Print ISSN: 1941-7640. Online ISSN: 1941-7632

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Structural Heart Disease Relationship Between Valve Calcification and Long-Term Results of Percutaneous Mitral Commissurotomy for Rheumatic Mitral Stenosis Claire Bouleti, MD, PhD; Bernard Iung, MD; Dominique Himbert, MD; David Messika-Zeitoun, MD, PhD; Eric Brochet, MD; Eric Garbarz, MD; Bertrand Cormier, MD; Alec Vahanian, MD Background—Indications of percutaneous mitral commissurotomy (PMC) remain debated in calcific mitral stenosis. We analyzed long-term results of PMC for calcific mitral stenosis and the factors associated with late functional results. Methods and Results—We compared the characteristics and outcome of 314 patients undergoing PMC for calcific mitral stenosis with 710 patients with noncalcified valves followed up to 20 years. Calcification was defined by fluoroscopy, and its extent was graded from 1 to 4. Good immediate results (valve area ≥1.5 cm2 with mitral regurgitation ≤2/4) were obtained in 251 patients (80%) with calcified valves and 661 (93%) with noncalcified valves (P

Relationship between valve calcification and long-term results of percutaneous mitral commissurotomy for rheumatic mitral stenosis.

Indications of percutaneous mitral commissurotomy (PMC) remain debated in calcific mitral stenosis. We analyzed long-term results of PMC for calcific ...
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