Accepted Manuscript Title: Balloon Mitral Valvotomy in Juvenile Rheumatic Mitral Stenosis: Comparison of Immediate Results with Adults Author: Satish Karur Virupakshappa Veerappa Manjunath C. Nanjappa PII: DOI: Reference:
S1443-9506(14)00501-0 http://dx.doi.org/doi:10.1016/j.hlc.2014.04.261 HLC 1605
To appear in: Received date: Revised date: Accepted date:
28-8-2013 18-1-2014 18-4-2014
Please cite this article as: Karur S, Veerappa V, Nanjappa MC, Balloon Mitral Valvotomy in Juvenile Rheumatic Mitral Stenosis: Comparison of Immediate Results with Adults, Heart, Lung and Circulation (2014), http://dx.doi.org/10.1016/j.hlc.2014.04.261 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
Balloon Mitral Valvotomy in Juvenile Rheumatic Mitral Stenosis: Comparison of Immediate Results with Adults
ip t
Satish Karur, Virupakshappa Veerappa, Manjunath C. Nanjappa Dr. Satish Karur
cr
Associate Professor
us
Department of Cardiology
an
Sri Jayadeva Institute of Cardiovascular Sciences and Research
Ac ce p
Postgraduate student
te
Dr. Virupakshappa Veerappa
d
Bangalore, Karnataka, India – 560069
M
Bannerghatta Road, Jayanagar 9th Block
Department of Cardiology
Sri Jayadeva Institute of Cardiovascular Sciences and Research Bannerghatta Road, Jayanagar 9th Block Bangalore, Karnataka, India – 560069
Dr. Manjunath C. Nanjappa Professor and Head 1
Page 1 of 18
Department of Cardiology Sri Jayadeva Institute of Cardiovascular Sciences and Research
ip t
Bannerghatta Road, Jayanagar 9th Block
an
us
cr
Bangalore, Karnataka, India – 560069
Ac ce p
Department of Cardiology
te
Associate Professor
d
Dr. Satish Karur MD.DM.(Cardiology)
M
Corresponding Author
Sri Jayadeva Institute of Cardiovascular Sciences and Research Bannerghatta Road, Jayanagar 9th Block Bangalore, Karnataka, India – 560069 Telephone: +919731079078 E mail id: [email protected]
2
Page 2 of 18
ip t cr us an M
d
Aims: The objective of the study was to study and compare the clinical, echocardiographic
te
and haemodynamic profile of juvenile rheumatic mitral stenosis (age ≤20 years) with severe mitral stenosis in adults, both before and immediately after balloon mitral valvotomy and also
Ac ce p
to evaluate the safety and efficacy of the procedure in juvenile patients. Methods: Forty juvenile patients aged 20 years or younger were analysed with 40 consecutive adult patients who underwent balloon mitral valvotomy using Accura balloon in our institution. The procedure was successful in all the patients. The clinical, echocardiographic and haemodynamic parameters were compared pre- and post-balloon mitral valvotomy in both the groups. Results: New York Heart Association functional class was comparable in both the groups (II and III, 62.5% and37.5% Vs 60% and 40%). Atrial fibrillation was not seen in the juvenile group whereas 25% of the adult group had atrial fibrillation (p
S1443-9506(14)00501-0 http://dx.doi.org/doi:10.1016/j.hlc.2014.04.261 HLC 1605
To appear in: Received date: Revised date: Accepted date:
28-8-2013 18-1-2014 18-4-2014
Please cite this article as: Karur S, Veerappa V, Nanjappa MC, Balloon Mitral Valvotomy in Juvenile Rheumatic Mitral Stenosis: Comparison of Immediate Results with Adults, Heart, Lung and Circulation (2014), http://dx.doi.org/10.1016/j.hlc.2014.04.261 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
Balloon Mitral Valvotomy in Juvenile Rheumatic Mitral Stenosis: Comparison of Immediate Results with Adults
ip t
Satish Karur, Virupakshappa Veerappa, Manjunath C. Nanjappa Dr. Satish Karur
cr
Associate Professor
us
Department of Cardiology
an
Sri Jayadeva Institute of Cardiovascular Sciences and Research
Ac ce p
Postgraduate student
te
Dr. Virupakshappa Veerappa
d
Bangalore, Karnataka, India – 560069
M
Bannerghatta Road, Jayanagar 9th Block
Department of Cardiology
Sri Jayadeva Institute of Cardiovascular Sciences and Research Bannerghatta Road, Jayanagar 9th Block Bangalore, Karnataka, India – 560069
Dr. Manjunath C. Nanjappa Professor and Head 1
Page 1 of 18
Department of Cardiology Sri Jayadeva Institute of Cardiovascular Sciences and Research
ip t
Bannerghatta Road, Jayanagar 9th Block
an
us
cr
Bangalore, Karnataka, India – 560069
Ac ce p
Department of Cardiology
te
Associate Professor
d
Dr. Satish Karur MD.DM.(Cardiology)
M
Corresponding Author
Sri Jayadeva Institute of Cardiovascular Sciences and Research Bannerghatta Road, Jayanagar 9th Block Bangalore, Karnataka, India – 560069 Telephone: +919731079078 E mail id: [email protected]
2
Page 2 of 18
ip t cr us an M
d
Aims: The objective of the study was to study and compare the clinical, echocardiographic
te
and haemodynamic profile of juvenile rheumatic mitral stenosis (age ≤20 years) with severe mitral stenosis in adults, both before and immediately after balloon mitral valvotomy and also
Ac ce p
to evaluate the safety and efficacy of the procedure in juvenile patients. Methods: Forty juvenile patients aged 20 years or younger were analysed with 40 consecutive adult patients who underwent balloon mitral valvotomy using Accura balloon in our institution. The procedure was successful in all the patients. The clinical, echocardiographic and haemodynamic parameters were compared pre- and post-balloon mitral valvotomy in both the groups. Results: New York Heart Association functional class was comparable in both the groups (II and III, 62.5% and37.5% Vs 60% and 40%). Atrial fibrillation was not seen in the juvenile group whereas 25% of the adult group had atrial fibrillation (p
