Abstract
Rheumatic mitral stenosis is a very common problem in our population having an incidence of 54 percent among rheumatic heart disease with a female preponderance of 2:1. Percutaneous transvenous initral conimissurotomy (PTMC) using an Inoue balloon catheter is of established efficacy and safety and is an alternative to surgical valvotomy in selected patients with rheumatic mitral stenosis. Nine hundred and ninety (990) patients with rheumatic mitral stenosis who underwent PTMC were evaluated clinically, by echocardiography and by catheter during and after procedure. Out of 990 patients 90 patients had history of previous surgical commissurotomy (Group-1) and rest 900 patients had no history of previous surgical commissurotomy (Group-2) PTMC is an effective procedure for patients with mitral restenosis following surgical commissurotomy.
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