Impact of effective valvotomy in mitral stenosis on pulmonary venous flow pattern

Impact of effective valvotomy in mitral stenosis on pulmonary venous flow pattern

Author Tatani, Solange Bernardes Google Scholar
Campos, Orlando Google Scholar
Moises, Valdir Ambrosio Google Scholar
Fischer, Claudio Henrique Google Scholar
Souza Marcondes, Jose Augusto Google Scholar
Carvalho, Antonio Carlos C. Google Scholar
Paola, Angelo Amato V. de Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Aims: Transesophageal Doppler echocardiography (TEE) is a useful tool to investigate pulmonary venous flow (PVF) velocity, which is altered in patients with mitral stenosis (MS). This study used TEE to analyze the variations in the PVF pattern after successful valvar dilatation in MS patients. Methods/Results: A total of 15 MS patients, mean age 27.2 years, underwent effective percutaneous balloon valvotomy (PBV). All were submitted to TEE before and after PBV. TEE assessed systolic (SPFV) and diastolic (DPFV) peak flow velocities and their ratio (SPFV/DPFV), time-velocity integrals (STVI and DTVI) and their ratio, and diastolic flow deceleration (DFD). Valvotomy yielded statistically significant increases (P <= 0.05) in the SPFV: increase on average by 67% and STVI by 120%, as well as in the diastolic component: increased on average by 35%, DTVI by 33%, and DFD by 75%. Conclusion: TEE demonstrated that PBV induced a global increase in velocities of PVF, probably related to improvement of left atrial emptying.
Keywords pulmonary venous flow
mitral stenosis
transesophageal echocardiography
Language English
Date 2006-08-01
Published in Echocardiography-a Journal of Cardiovascular Ultrasound and Allied Techniques. Oxford: Blackwell Publishing, v. 23, n. 7, p. 531-535, 2006.
ISSN 0742-2822 (Sherpa/Romeo, impact factor)
Publisher Blackwell Publishing
Extent 531-535
Access rights Closed access
Type Article
Web of Science ID WOS:000239332900001

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