Balloon mitral valvuloplasty at Groote Schuur Hospital : results, complications and short-term follow-up

 

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dc.contributor.advisor Commerford, Patrick en_ZA
dc.contributor.author Lawrenson, John Bernard en_ZA
dc.date.accessioned 2017-11-16T13:48:56Z
dc.date.available 2017-11-16T13:48:56Z
dc.date.issued 1995 en_ZA
dc.identifier.citation Lawrenson, J. 1995. Balloon mitral valvuloplasty at Groote Schuur Hospital : results, complications and short-term follow-up. University of Cape Town. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/26331
dc.description.abstract Balloon dilatation of the stenosed mitral valve, in an attempt to relieve symptoms, was developed to replace the surgical procedure of closed mitral valvotomy. This procedure, whereby a balloon tipped catheter is introduced from the femoral vein and directed across the mitral valve after an atrial septal puncture, was developed in 1982. The procedure was first performed at Groote Schuur Hospital in 1988. Two types of dilating balloon (Inoue and Bifoil types) have been used. The aim of this retrospective study was to analyze the results of balloon mitral valvuloplasty procedures performed from 1988 until November 1992. In addition a detailed analysis was made of all complications of the procedure. 118 patients (mean age 30.7 years) underwent 124 attempted procedures. 93 % of attempts were successfully completed and an optimal result was achieved in 76% of patients. Mitral valve area increased from 0.9cm² to 2.0cm². Equivalent results have been achieved with both balloon types. Death occurred in 1.6 % of patients. 2.4 % of patients had severe mitral regurgitation as a complication. 4% of procedures resulted in cardiac chamber perforation. The experience at Groote Schuur has been similar to other centres treating young patients with rheumatic mitral stenosis. en_ZA
dc.language.iso eng en_ZA
dc.subject.other Balloon Dilation - methods - South Africa en_ZA
dc.subject.other Balloon Dilation - South Africa en_ZA
dc.subject.other Mitral Valve Stenosis - complication - South Africa en_ZA
dc.title Balloon mitral valvuloplasty at Groote Schuur Hospital : results, complications and short-term follow-up en_ZA
dc.type Master Thesis
dc.date.updated 2017-04-06T14:23:03Z
uct.type.publication Research en_ZA
uct.type.resource Thesis en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Division of Cardiology en_ZA
dc.type.qualificationlevel Masters
dc.type.qualificationname MMed en_ZA
uct.type.filetype
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Lawrenson, J. B. (1995). <i>Balloon mitral valvuloplasty at Groote Schuur Hospital : results, complications and short-term follow-up</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Division of Cardiology. Retrieved from http://hdl.handle.net/11427/26331 en_ZA
dc.identifier.chicagocitation Lawrenson, John Bernard. <i>"Balloon mitral valvuloplasty at Groote Schuur Hospital : results, complications and short-term follow-up."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Division of Cardiology, 1995. http://hdl.handle.net/11427/26331 en_ZA
dc.identifier.vancouvercitation Lawrenson JB. Balloon mitral valvuloplasty at Groote Schuur Hospital : results, complications and short-term follow-up. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Division of Cardiology, 1995 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/26331 en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Lawrenson, John Bernard AB - Balloon dilatation of the stenosed mitral valve, in an attempt to relieve symptoms, was developed to replace the surgical procedure of closed mitral valvotomy. This procedure, whereby a balloon tipped catheter is introduced from the femoral vein and directed across the mitral valve after an atrial septal puncture, was developed in 1982. The procedure was first performed at Groote Schuur Hospital in 1988. Two types of dilating balloon (Inoue and Bifoil types) have been used. The aim of this retrospective study was to analyze the results of balloon mitral valvuloplasty procedures performed from 1988 until November 1992. In addition a detailed analysis was made of all complications of the procedure. 118 patients (mean age 30.7 years) underwent 124 attempted procedures. 93 % of attempts were successfully completed and an optimal result was achieved in 76% of patients. Mitral valve area increased from 0.9cm² to 2.0cm². Equivalent results have been achieved with both balloon types. Death occurred in 1.6 % of patients. 2.4 % of patients had severe mitral regurgitation as a complication. 4% of procedures resulted in cardiac chamber perforation. The experience at Groote Schuur has been similar to other centres treating young patients with rheumatic mitral stenosis. DA - 1995 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 1995 T1 - Balloon mitral valvuloplasty at Groote Schuur Hospital : results, complications and short-term follow-up TI - Balloon mitral valvuloplasty at Groote Schuur Hospital : results, complications and short-term follow-up UR - http://hdl.handle.net/11427/26331 ER - en_ZA


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