Key result
In a cohort of 97 patients with pure mitral stenosis, closed mitral valvotomy resulted in improved functional class and symptomatic relief in 80% of patients at an average follow-up of two years.
Why the study?
Does closed mitral valvotomy improve functional class and symptoms in patients with mitral stenosis?
Observational (n=97)
No
Does closed mitral valvotomy improve functional class and symptoms in patients with mitral stenosis?
Closed mitral valvotomy remains a viable and effective palliative option for pure, non-calcified mitral stenosis in resource-limited settings where open heart surgery or percutaneous balloon valvuloplasty is unavailable.
Supports palliative role where percutaneous options unavailable; leaves open comparative efficacy versus modern therapies in prospective trials.
Background: Rheumatic heart disease is the most common cause of mitral valve stenosis. About 20 million people are believed to be affected with rheumatic heart fever in underdeveloped countries, and 40% of these patients have only mitral valve disease. The characteristic features of mitral stenosis are leaflet / chordal thickening and retraction. All current operations for the condition are palliative.
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Dr Ishtyak Ahmed Mir (2016) conducted an observational in Mitral valve stenosis (n=97). Closed mitral valvotomy was evaluated on Improvement in functional class and symptoms. In a cohort of 97 patients with pure mitral stenosis, closed mitral valvotomy resulted in improved functional class and symptomatic relief in 80% of patients at an average follow-up of two years.
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