Mitral stenosis and Percutaneus Balloon Mitral valvulopasty

Abstract

Rheumatic fever, which is the predominant aetiology of mitral stenosis (MS), has greatly decreased in industrialized countries: nevertheless, MS still results in significant morbidity and mortality worldwide. Because MS is a mechanical obstruction to forward flow, the only definitive therapy is mechanical relief of this obstruction. Three procedures are effective in providing such therapy. These are Percutaneus Balloon Mitral Valvuloplasty(PBMV), open commissurotomy, and mitral valve replacement. Because clinical trials have found PBMV to be superior to closed surgical commissurotomy, the latter procedure has been largely abandoned except in areas where it is less expensive to perform closed commissurotomy than PBMV. Today, therefore, Inoue`s balloon technique has become the most popular method for performing PBMV in most parts of the world. The following is a review of the PBMV with Inoue`s balloon technique as a gold standart in treatment of mitral stenosis.Key words: Mitral stenosis, Inoue`s balloon techniqu