ISRA MEDICAL JOURNAL p-ISSN: 2073-8285
e-ISSN: 2413-9289
Excellence in Medical Education
السبت 27 شعبان 1442
Saturday 10th April 2021
Current Issue:
Volume 13 - Issue 1, Jan - Mar 2021
Archives Instructions for Authors Manuscript Submission Review Process Instructions for Reviewer Ahead of Printing Article Tracking
IMJ is recognized by;

- Higher Education Commision of Pakistan (HEC)
- Pakistan Medical & Dental Council (PMDC)

IMJ is Covered by;
- Directory of Open Access scholarly Resources (ROAD)
- EBSCO
- Index Copernicus International (IC Journals Master List)
- Index Medicus for the Eastern Mediterranean Region (IMEMR)
- PakMediNet
- BiblioMed
Title:
Immediate post-procedural complications of Percutaneous Transvenous Mitral Commissurotomy (PTMC) with special reference to Valvular and Neurologic outcomes
Authors:
Tariq Mehmood Khan, Hafiz Muhammad Asif Zarif, Ammar Akhtar, Ikram Fareed Gul Zaman Khan Niazi, Muhammad Abdul Rehman Sikandar
Published on:
2021-03-31
Journal Reference:
Volume 13 - Issue 1     Jan - Mar 2021
Pages:
3-6
Download Abstract:

  ABSTRACT

Objective: To assess the frequency of worsening pre-existing mitral regurgitation, development of new mitral regurgitation and the evidence of cerebral embolization in patients developing neurological deficit after the percutaneous transvenous mitral commissurotomy.

Study Design: Descriptive Observational study.

Place and Duration: From 1st October 2019 to 30th April 2020 at Chaudhary Pervaiz Elahi Institute of Cardiology, Multan

Methodology: Patients with severe rheumatic mitral valve area of 1 cm2 planned for percutaneous transvenous mitral commissurotomy (PTMC) were included. Pre-procedural echocardiography was done to determine mitral valve area (MVA), pulmonary artery systolic pressure (PASP), trans-mitral pressure gradient (TMPG) and for presence and severity of mitral regurgitation and compared to 24 hours post-procedural echocardiography for results. Any patient complaining of any neurological deficit was evaluated clinically and CT-scan brain was also done.

Results: Among total of 142 patients included the mean age of the patients was 34.54±12.10 years and majority (55.63%) were female patients. Mitral regurgitation was diagnosed in 38.73% patients. Worsening of pre-existing mitral regurgitation on transthoracic echocardiography was noted in 16.90% patients. All patients were managed medically. New mitral regurgitation was developed in 21.83%. Only two patients (0.14%) developed neurological symptoms but were discharged without any deficit after 24 hours.

Conclusion: Percutaneous Transvenous Mitral Commissurotomy for mitral stenosis is a safe procedure for severe mitral stenosis. PTMC is associated with minimal valve related and neurologic complications.

Keywords: Mitral stenosis, Percutaneous transvenous mitral commissurotomy, Mitral regurgitation, Cerebral embolization, Rheumatic heart disease, Mitral valve area

How to Cite This:

Khan TM, Zarif HMA, Akhtar A, Fareed I, Niazi GZK, Sikandar MAR. Immediate post-procedural complications of Percutaneous Transvenous Mitral Commissurotomy (PTMC) with special reference to valvular and neurologic outcomes. Isra Med J. 2021; 13(1): 3-6.

This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.