Why the study?
Does percutaneous balloon mitral commissurotomy or open mitral commissurotomy improve mitral valve area and clinical outcomes compared to closed mitral commissurotomy in patients with severe pliable rheumatic mitral stenosis?
Population
90 patients with severe pliable rheumatic mitral valve stenosis (MS)
Comparison
Percutaneous balloon mitral commissurotomy or… vs Surgical closed mitral commissurotomy (CMC) (n=30)
Design
RCT, Randomized to 3 procedures (30 patients in each group)
Follow-up
7 years
Authors
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BMC or OMC should be preferred over CMC for severe pliable rheumatic MS; confirms sustained RCT superiority at 7 years.
Does percutaneous balloon mitral commissurotomy or open mitral commissurotomy improve mitral valve area and clinical outcomes compared to closed mitral commissurotomy in patients with severe pliable rheumatic mitral stenosis?
Percutaneous balloon mitral commissurotomy and open mitral commissurotomy provide superior long-term hemodynamic and clinical outcomes compared to closed mitral commissurotomy for severe pliable rheumatic mitral stenosis.
Farhat et al. (1998) studied this question.