2D & 3D echocardiography assessment before and after balloon mitral valvoplasty

Abstract

Background: When treating individuals with symptomatic rheumatic mitral stenosis, balloon mitral valvoplasty is secure and efficient procedure. Aim: To assess the changes in mitral valve morphology caused by balloon mitral valvoplasty by 2D & 3D echocardiography. Subjects and methods: Fifty patients with mitral stenosis were planed for balloon mitral valvuloplasty and had their mitral valve morphology evaluated using 2D and 3D echocardiography before and after the procedure. Results: Of the 50 patients in the research, 37 were female (74%), and 13 were male (26%). Their ages between 22 and 45, with the mean age was 33.4 ± 7.5 years. We found that there was significant increase in MVA after BMV measured by 2D ,3D echocardiography (P <0.001) and there was significant decrease in pulmonary arterial pressure and left atrium volumes after BMV (P <0.001). Conclusion: Mitral commissural splitting , enhancement of MVA, enhanced leaflet opening and decrease in pulmonary arterial pressure and LA volume are all significant alterations in how the mitral valve is shaped that are linked to BMV.