Abstract
Global migration means rheumatic heart disease (RHD) and mitral stenosis (MS) remain important issues in Western health systems. Percutaneous mitral balloon valvuloplasty (PMBV) is a durable treatment strategy relying on suitable leaflet characteristics adjudged by a Wilkins score. Commissural calcification alone has been thought as reliable as Wilkins score. Timing PMBV is also important. Falling left atrial ejection fraction (LAEF) has been theorised to predict future MS intervention. This study compared Wilkins score and commissural calcification as predictors of procedural success and durability; and, observed if LAEF improved post-valvuloplasty.
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