Percutaneous balloon mitral valvuloplasty: experiences at the "Cardiocentro" in Santiago de Cuba

Authors

  • Sándor Peña Oliva
  • Abel Salas Fabré
  • José C. López Martín

Abstract

Introduction: Percutaneous balloon mitral valvuloplasty has flourished as a main-stream therapy (mostly in developed countries) for treating patients with medical indication and those suffering from rheumatic mitral stenosis. This procedure is performed at the Cardiocentro in Santiago de Cuba since July 2008.

Objectives: To describe the results of percutaneous balloon mitral valvuloplasty in the study participants.

Methods:A descriptive, single-centered and observational study including 91 pa-tients treated by this procedure was conducted at the Cardiocentro in Santiago de Cuba from July 2008 to June 2019. Clinical/epidemiological, echocardiographic and hemodynamic variables were assessed, as well as immediate procedure outcomes.

Results: Young individuals (60.4% between 15-44 years), female (86.8%), with a his-tory of rheumatic fever (48.4%), NYHA (New York Heart Association) functional class III (64.8%) and sinus rhythm (86.8%) predominated. An average increase in valve area of over double (0.99 vs. 2.12 cm2) the initial value and a reduction in atrial pressure of more than 50% (25 vs. 11.76 mmHg) was achieved; thus evidencing that the treatment was effective in 95.6% of the patients. A significant association (Fisher Test ≤ 0.05) was identified between Wilkins score ≤ 8 and satisfactory outcome of the procedure.

Conclusions: The results of percutaneous balloon mitral valvuloplasty in the medical center were successful and consistent with those achieved nationally and internationally.

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References

1. Saturno Chiu G. Valvulopatías. En: Saturno Chiu G, ed. Cardiología. Ciudad de México: El Manual Moderno; 2017.

2. López Ferreiro L, Aguiar Pérez J, Ortiz Albear Y, Echarte Martínez JC, Villanueva Ponte L, Alfonso Rodríguez E. Resultados de la valvuloplastia mitral percutánea en el Instituto de Cardiología y Cirugía Cardiovascular [Resumen]. En: Libro de Resúmenes: XIII Jornadas SOLACI. 5ta Región de Centroamérica y el Caribe. XVII Simposio Internacional de Cardiología Intervencionista. V Taller Nacional de Cardiología Intervencionista. III Jornada de Intervencionismo Cardiovascular. Rev Cuban Cardiol. 2010;16(Supl 1):347-48.

3. O’Gara P, Loscalzo J. Cardiopatías valvulares. En: Longo DL, Kasper DL, Jameson JL, et al; eds. Harrison. Principios de Medicina Interna. 18ª ed. Vol. 2. Nueva York: McGraw Hill Interamericana; 2012. p. 1928-50.

4. Ministerio de Salud Pública. Anuario Estadístico de Salud 2016. La Habana: Dirección Nacional de Registros Médicos y Estadísticas de Salud; 2017.

5. Otto CM, Bonow RO. Cardiopatía valvular. En: Mann DL, Zipes DP, Libby P, Bonow RO, Braunwald E, eds. Braunwald Tratado de Cardiología. 10ma Ed. Barcelona: Elsevier España; 2016. p. 1446-509.

6. Tornos Mas P, Sitges Carreño M. Valvulopatías. En: Rozman C, Cardellach F, eds. Farreras-Rozman: Medicina Interna. 18ª Ed. Barcelona: Elsevier España. 2016. p. 502-14.

7. Vahanian A, Alfieri O, Andreotti F, Antunes MJ, Barón-Esquivias G, Baumgartner H, et al. Guíade práctica clínica sobre el tratamiento de las valvulopatías (versión 2012). Grupo de trabajo conjunto de la Sociedad Europea de Cardiología (ESC) y de la Asociación Europea de Cirugía Cardiotorácica (EACTS). Rev Esp Cardiol. 2013;66(2):131.e1-e42.

8. Echarte-Martínez JC, Valiente-Mustelier J, García Fernández R, Duque Pérez Y. Resultados de la valvuloplastia mitral percutánea. Experiencia en el Instituto de Cardiología y Cirugía Cardiovascular de Cuba (1998-2004). CorSalud [Internet] 2010 [citado 19 May 2019];2(1). Disponible en: http://www.corsalud.sld.cu/sumario/2010/v2n1a10/resultadoscopia.htm

9. Castillo Guzmán A, Armas Rojas NB, Echarte Martínez JC, González Greck O. Costo efectividad de dos alternativas de tratamiento de la estenosis mitral. Rev Cuban Salud Púb [Internet]. 2004 [citado 20 May 2019];30(4): Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-34662004000400003

10. O’Gara P, Loscalzo J. Valvulopatía mitral. En: Kasper DL,Fauci AS, Hauser SL, et al; eds. Harrison. Principios de Medicina Interna. 19ª ed. México, D.F.: McGraw-Hill Education. 2016.p. 1539-47.

11. Sarmiento RA, Gagliardi JA, Blanco R, Gigena G, Lax J, Szarfer J, et al. Resultados inmediatos y seguimiento a largo plazo de la valvuloplastia mitral percutánea. Rev Argent Cardiol. 2013;81(1):31-8.

12. Dighero H, Zepeda F, Soto M, Godoy D, Puentes Á, Aranda W, et al. Valvuloplastía mitral percutánea: experiencia del Hospital San Juan de Dios. Rev Chil Cardiol. 2010;29(3):329-33.

13. Martínez G, Fajuri A, Córdova S, Braun S, Marchant E, Guarda E, et al. Resultados a largo plazo de la valvuloplastía mitral con balón. Rev Med Chile. 2014;142(11):1363-70.

14. Tapia M, Noche J, Albornoz F, Meriño G, Olmos A. Valvuloplastia en estenosis mitral moderada a severa por sobre reemplazo valvular, según criterios de Wilkins. Reporte de un caso. Rev ANACEM. 2013;VII(1):34-7.

15. Chen ZQ, Hong L, Wang H, Lu LX, Yin QL, Lai HL, et al. Application of percutaneous balloon mitral valvuloplasty in patients of rheumatic heart disease mitral stenosis combined with tricuspid regurgitation. Chin Med J (Engl). 2015;128(11):1479-82.

16. Vieira ML, Silva MC, Wagner CR, Dallan LA, Kajita LJ, Oliveira WA, et al. Remodelado inverso de aurícula izquierda en pacientes con estenosis de válvula mitral tras valvuloplastia percutánea: estudio ecocardiográfico bidimensional y tridimensional. Rev Esp Cardiol. 2013;66(1):17-23.

17. Lu L, Hong L, Fang J, Chen L. Effectiveness of percutaneous balloon mitral valvuloplasty for rheumatic mitral stenosis with mild to severe mitral regurgitation. Biomed Res Int [Internet]. 2016 [citado 23 May 2019];2016:3298343. Disponible en: https://doi.org/10.1155/2016/3298343

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Published

2020-04-18

How to Cite

1.
Peña Oliva S, Salas Fabré A, López Martín JC. Percutaneous balloon mitral valvuloplasty: experiences at the "Cardiocentro" in Santiago de Cuba. CorSalud [Internet]. 2020 Apr. 18 [cited 2025 Sep. 11];12(2):155-61. Available from: https://revcorsalud.sld.cu/index.php/cors/article/view/651

Issue

Vol. 12 No. 2 (2020)

Section

ORIGINAL ARTICLES

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