Resultados a largo plazo de la valvuloplastía mitral con balón / Long term results of mitral balloon valvuloplasty
Rev. méd. Chile
;
142(11): 1363-1370, nov. 2014. ilus, graf, tab
Artículo
en Español
| LILACS
| ID: lil-734870
ABSTRACT
Background:
Mitral balloon valvuloplasty (MBV) is the therapy of choice for the treatment of symptomatic mitral stenosis with suitable anatomy. Although its short and mid-term results are favorable, there is a paucity of information about long-term follow-up.Aim:
To assess the late results of MBV. Material andMethods:
A cohort of 225 patients aged 8 to 20 years who were subjected to a MBV from 1989 to 2001, was studied. All variables at the time of the procedure, short and long-term results and major events during follow-up (new mitral intervention and mortality) were recorded. Uni and multivariate analysis were used to assess prognosis.Results:
The mean follow-up lapse was 13.5 years (range 8 to 20 years). During this period, 88 patients (39.1%) remained event-free and in acceptable functional capacity. Eight percent died, 8% required a second MBV and 43.5% required a surgical mitral valve replacement. A post-procedural area equal or greater to 1.9 cm² was associated with a greater likelihood of free-event survival (log rank test p = 0.02/Cox proportional regression model coefficient 0.54, p = 0.04).Conclusions:
MBV is effective, although there is a high chance of new interventions in the long-term follow-up. A larger post-procedure mitral area is associated with a better prognosis.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Valvuloplastia con Balón
/
Estenosis de la Válvula Mitral
Tipo de estudio:
Estudio pronóstico
/
Factores de riesgo
Límite:
Adulto
/
Femenino
/
Humanos
/
Masculino
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
2014
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
Pontificia Universidad Católica de Chile/CL
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