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

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dc.contributor.advisorCommerford, Patricken_ZA
dc.contributor.authorLawrenson, John Bernarden_ZA
dc.date.accessioned2017-11-16T13:48:56Z
dc.date.available2017-11-16T13:48:56Z
dc.date.issued1995en_ZA
dc.date.updated2017-04-06T14:23:03Z
dc.description.abstractBalloon 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.identifier.apacitationLawrenson, 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/11427/26331en_ZA
dc.identifier.chicagocitationLawrenson, 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/11427/26331en_ZA
dc.identifier.citationLawrenson, J. 1995. Balloon mitral valvuloplasty at Groote Schuur Hospital : results, complications and short-term follow-up. University of Cape Town.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
dc.identifier.urihttp://hdl.handle.net/11427/26331
dc.identifier.vancouvercitationLawrenson 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/11427/26331en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentDivision of Cardiologyen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherBalloon Dilation - methods - South Africaen_ZA
dc.subject.otherBalloon Dilation - South Africaen_ZA
dc.subject.otherMitral Valve Stenosis - complication - South Africaen_ZA
dc.titleBalloon mitral valvuloplasty at Groote Schuur Hospital : results, complications and short-term follow-upen_ZA
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMMeden_ZA
uct.type.filetype
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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