Percutaneous balloon mitral valvuloplasty is an effective intervention for paediatric patients with rheumatic mitral stenosis who have a pliable valve and minimal regurgitation.
Case report suggests percutaneous balloon mitral valvuloplasty feasible in juvenile rheumatic mitral stenosis; hypothesis-generating pending prospective data.
Rheumatic fever is still the commonest cause of mitral stenosis in developing countries. This is attributable to predominance of overcrowding, unhygienic lifestyle and poor socio-economic status. Usually rheumatic carditis sets in by 10-20 years after an attack of rheumatic fever. However juvenile rheumatic carditis has a fulminant course and requires prompt intervention [2]. In case of a pliable valve and minimal mitral regurgitation, percutaneous balloon mitral valvuloplasty has shown to produce good immediate and long term outcome in paediatric patients.
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Kar et al. (2016) studied this question.
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