What are the hemodynamic changes in patients undergoing emergency mitral valve replacement for traumatic mitral insufficiency following balloon mitral valvotomy?
This paper aims to provide previously unavailable hemodynamic data for patients undergoing emergency mitral valve replacement due to massive mitral insufficiency complicating balloon mitral valvotomy.
PERCUTANEOUS transvenous balloon mitral valvotomy (BMV) is widely performed for relief of symptoms in patients with pure mitral stenosis. 1 Massive mitral insufficiency may occur as a complication of this technique, necessitating urgent surgical intervention. 2 The anatomic lesions 3 and mechanism of regurgitation 2 in such patients have been reported. However, to the best of our knowledge, reports of the hemodynamic data of these patients undergoing emergency mitral valve replacement are not available.
Tempe et al. (1998) studied this question.
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