SHORT TERM CLINICAL OUTCOMES AFTER PERCUTANEOUS MITRAL COMMISSUROTOMY FOR MITRAL STENOSIS

Abstract

Objective: To determine the frequency of short term clinical outcomes ofpercutaneous transvenous mitral commissurotomy for mitral stenosis amongpatients having wilkin score of < 12. Methodology: This study was conducted at Lady Reading Hospital, Peshawarform January to October, 2014. It was a cross sectional descriptive study andsampling method was consecutive. Patients having mitral stenosis were includedand followed for 3 months after PTMC. Patient were selected from cardiologyoutpatient department and subjected to echo-cardiogphy to know the exactWilkin's score. Result: Out of total 175 patients 56 (32%) were males. The mean age of thepatients was 22.69±7.93 years. Mean BMI of patients was 21.07±3.95. MeanWilkin's score was 6.69±1.99 ranging from 3-11. Improvement in mitral valvearea, pulmonary artery pressure, mitral valve gradient and left atrial volume werefound in 148 (84.6%), 170 (97.1%), 175(100%) and 170(97.1%) respectively.While worsening in mitral regurgitation was 47(26.9%). Conclusion: PTMC is a safe and effective procedure with good short-termoutcomes like improvement in mitral valve area, pulmonary artery pressure,mitral valve gradient and left atrial volume and not worsening mitral regurgitationsin patients of mitral stenosis having Wilkin's score < 12. Key Words: Mitral stenosis, PTMC, Wilkin's Score.