Journal of Heart and Cardiology Journal of Heart and Cardiology Journal of Heart and Cardiology Journal of Heart and Cardiology 2378-6914Ommega Online PublishersNew Jersey, USA40310.15436/2378-6914.15.012Research ArticleLong-term Outcomes after Percutaneous Mitral Valvuloplasty in Colombia, South AmericaLong-term Outcomes after Percutaneous Mitral Valvuloplasty in Colombia, South AmericaWajeeha Saeed1Interventional Cardiology Unit Cardio Vid Clinic Medell iacute n Colombia South America 2Department of Medicine Albert Einstein College of Medicine Bronx New York3Interventional Cardiology Unit Valle de Lilli foundation Cali Colombia South America 4Interventional Cardiology Cooper University Hospital Camden New Jersey 5Yale School of Medicine New Haven Connecticut USAEditor* E-mail: wajsaeed@yahoo.com
The authors have declared that no competing interests exist.
20151009201512JHC-15-CR-40307072015310820152015Creative Commons Attribution LicenseThis is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. nbsp Objective To evaluate the long term clinical results of percutaneous mitral balloon valvuloplasty in patients with rheumatic mitral stenosis in Colombia South America Background In 1993 Colombia South America began a National Mitral Balloon Valvuloplasty Registry This multicenter database was designed to establish the longterm safety and efficacy of percutaneous mitral valvuloplasty as well as rate of restenosis Methods Between January 1993 and December 2011 182 patients gt 18 years old were treated for rheumatic mitral stenosis with percutaneous valvuloplasty in two centers in Colombia South America Clinical echocardiographic and hemodynamic data were stored in an electronic database The Inoue Balloon technique was used in 99 of patients The longest follow-up period was 15 years Results 182 patients were included women 89 hypertension 19 dyslipidemia 1 6 smoking 8 8 diabetes 5 5 and renal failure 1 Forty-six patients 25 7 were NYHA functional class III-IV Procedure related mortality was 1 09 2 patients Fourteen patients 7 69 had significant post procedure mitral insufficiency grades III-IV 4 patients 2 19 had cardiac tamponade and 6 patients 3 3 had vascular site related complications The survival rate at 12 months was 96 At 50 months 60 7 of patients were alive and free of mitral surgery and repeated mitral valvuloplasty The percentage of severe restenosis of mitral valve was 4 8 19 2 15 2 at one five and 10 years of follow-up Conclusions Percutaneous mitral valvuloplasty using the Inoue balloon technique improves the hemodynamic profile of severe mitral stenosis Long-term follow-up suggest that it is a safe alternative to mitral valve surgery in well selected patients 10