Guha S, Chattopadhyay A, Nasipuri J N, Hazra B R, Chakraborty T K
Department of Cardiology, IPGMER, Calcutta.
J Indian Med Assoc. 1999 Jul;97(7):252-4.
Rheumatic mitral stenosis is frequently encountered in our country. It affects younger population and is a major cause of morbidity Mitral valvotomy is the definitive therapy for this disease and can be achieved by closed mitral commissurotomy (CMC), open mitral commissurotomy (OMC) or by percutaneous transluminal mitral valvuloplasty (PTMV). Compared to CMC, PTMV is less invasive but more expensive at this moment. With the reduction of cost, PTMV may become the procedure of choice for the treatment of rheumatic mitral stenosis in future.
风湿性二尖瓣狭窄在我国较为常见。它影响年轻人群,是发病的主要原因。二尖瓣切开术是治疗该病的决定性疗法,可通过闭式二尖瓣交界切开术(CMC)、直视二尖瓣交界切开术(OMC)或经皮腔内二尖瓣球囊成形术(PTMV)来实现。与CMC相比,PTMV的侵入性较小,但目前费用更高。随着成本的降低,PTMV未来可能会成为治疗风湿性二尖瓣狭窄的首选方法。