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[Long-term results of percutaneous mitral valvuloplasty in patients over 50 years old]

Raúl Astudillo1, José Antonio Palomo Villada, Jaime Santiago

  • 1Cardiólogo del Servicio de Hemodinamia, Hospital de Cardiologia del Centro Medico Nacional Siglo XXI, Instituto Mexicano del Seguro Social.

Archivos De Cardiologia De Mexico
|August 25, 2007
PubMed
Abstract

Insights

Percutaneous Mitral Valvulotomy (PMV) in patients over 50 is safe and effective, with high immediate success. Long-term follow-up shows a 19% restenosis rate, indicating a need for ongoing monitoring.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Valvular Heart Disease

Context:

  • Advanced age is linked to complications in Percutaneous Mitral Valvulotomy (PMV).
  • The specific contributions of age versus valvular anatomy to outcomes require clarification.
  • Rheumatic mitral stenosis necessitates effective treatment strategies.

Purpose:

  • To evaluate the immediate and long-term outcomes of PMV using the Inoue balloon in patients aged over 50.
  • To correlate complications with patient age and the Wilkins score.
  • To assess the efficacy and safety of PMV in an elderly population.

Summary:

  • A retrospective study of 137 patients (over 50 years old) with rheumatic mitral stenosis undergoing PMV.
  • Immediate success was achieved in 93% of cases, with significant improvements in Mitral Valvular Area (MVA) and transmitral gradient.
  • Complications occurred in 13.8%, with stroke and tamponade each at 2.2%. Long-term follow-up (70 months) revealed a 19% restenosis rate.

Impact:

  • PMV with the Inoue balloon is a high-yield, acceptable-risk procedure for elderly patients with mitral stenosis.
  • The findings support PMV as a viable option for older adults, despite a notable restenosis rate.
  • This study provides crucial data for risk stratification and patient selection in this demographic.

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