Role of Computed Tomographic Evaluation of Mitral Valve in Predicting the Outcomes of Balloon Mitral Valvuloplasty

Document Type : Original Article

Authors

1 Professor of Cardiology, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt

2 Lecturer of Cardiology, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt

3 MSc, Cardiology, Assistant Lecturer of Cardiology, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt

https://doi.org/10.21608/aimj.2025.446560

Abstract

 
Background: The prognosis for people who go untreated for mitral valve stenosis (MVS) is not good because the illness progresses over time. Congestive heart failure is still commonly caused by MVS, even though its occurrence has declined significantly over the last several decades. This is especially true in underdeveloped nations.
Aim and objectives: To explore the role of computed tomography in predicting the success and safety of balloon mitral valvuloplasty in patients with significant rheumatic mitral stenosis.
Subjects and methods: This prospective observational study was carried out on 50 patients which underwent transthoracic echocardiography, transosophageal echocardiography and contrast-enhanced cardiac computed tomographic scan in the echocardiography and cardiac CT labs of Al-Azhar University Hospitals, Cairo, from October 2022 till October 2024.
Results: There was a strong association between the following CT variables and the success of PMC :MVA (cm2) was a strong predictor of success of PMC with a P value 0,calcification of mitral leaflets according to wilkins score :  score 2 calcification (confined to margins) was significat predictor of successful PMC with a P value 0 and Subvalvular calcification was predictor of success of PMC with high significance (P value 0.002) .
Conclusion: MDCT can predict the success and safety of PMC by various predictors.
 

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