Long-Term Clinical Outcome Of Balloon Mitral Valvuloplasty. What Is The Predictor?
Abstract
Penyakit Katup Jantung khususnya Penyakit Mitral Stenosis masih merupakan masalah yang harus ditanggulangi di negara berkembang termasuk Indonesia. Katup Mitral yang mengalami stenosis dan umumnya disebabkan oleh Penyakit Rheuma akan mengalami perburukan klinis dan hemodina-mik sebanding dengan makin mngecilnya orificium Katup Mitral. Secara hemodinamik tekanan atrium kiri akan meningkat , demikian selanjutnya tekanan Vena Pulmonalis Kanan (RVP-Right Pulmonary Vein ) meningkat.RVP diketahui merupakan faktor yang berperan dalam perjalanan natural penyakit SM dan dapat memengaruhi prognosis pasca tindakan intervensi baik pembedahan maupun intervensi non bedah dan bila terus meningkat maka gagal jantung kanan akan timbul. Penurunan luas katup, menjadi < 2,5 cm2, akan menyebabkan terjadinya peningkatan gradien tekanan. Gejala SM baru muncul ketika MVA telah mencapai 1,5 cm2 atau kurang.
Upaya yang dilakukan secara rational menu-runkan tekanan dengan melebarkan diameter orificium katup Mitral melalui Baloon Mitral Valvuloplasty (BMP) atau komisurotomi katup Mitral per Kutan (KTMP).
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References
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Brandler E, Siner R. Mitral Stenosis2008 [cited 2008 August 22, 2008]: Available from: www.emedicine.com
CL Reid, PA Chandraratna, DT Kawanishi, A Kotlewski and SH Rahimtoola. Influence of mitral valve morphology on double-balloon catheter balloon valvuloplasty in patients with mitral stenosis. Analysis of factors predicting immediate and 3-month results. 1989;80;515-524 Circulation.
Widowati DR, Yuniadi Y, Hersunarti N. Perbedaan luaran klinis jangka panjang komisurotomi kitral transvena perkutan berdasarkan kriteria ekokardiografi dan kateterisasi. J Kardiol Indones. 2010; 31: 28-38.
Seung-Jung Park, Cheol Whan Lee, Myeong-Ki Hong, Jae-Joong Kim, Seong-Wook Park and Mi-Jeong Kim, Jae-Kwan Song, Jong-Min Song, Duk-Hyun Kang, Young- Hak Kim. Long-Term Outcomes of Significant Mitral Regurgitation After Percutaneous. Circulation106.658088 2006;114;2815-2822; originally published online Dec 11, 2006.
Vincens JJ, Temizer D, Post JR, Edmunds LH, Jr., Herrmann HC. Long-term outcome of cardiac surgery in patients with mitral stenosis and severe pulmonary hypertension. Circulation. 1995;92(9 Suppl):137-42.
Brandler E, Siner R. Mitral Stenosis2008 [cited 2008 August 22, 2008]: Available from: www.emedicine.com
CL Reid, PA Chandraratna, DT Kawanishi, A Kotlewski and SH Rahimtoola. Influence of mitral valve morphology on double-balloon catheter balloon valvuloplasty in patients with mitral stenosis. Analysis of factors predicting immediate and 3-month results. 1989;80;515-524 Circulation.
Widowati DR, Yuniadi Y, Hersunarti N. Perbedaan luaran klinis jangka panjang komisurotomi kitral transvena perkutan berdasarkan kriteria ekokardiografi dan kateterisasi. J Kardiol Indones. 2010; 31: 28-38.
Seung-Jung Park, Cheol Whan Lee, Myeong-Ki Hong, Jae-Joong Kim, Seong-Wook Park and Mi-Jeong Kim, Jae-Kwan Song, Jong-Min Song, Duk-Hyun Kang, Young- Hak Kim. Long-Term Outcomes of Significant Mitral Regurgitation After Percutaneous. Circulation106.658088 2006;114;2815-2822; originally published online Dec 11, 2006.
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How to Cite
Kusmana, D. (1). Long-Term Clinical Outcome Of Balloon Mitral Valvuloplasty. What Is The Predictor?. Indonesian Journal of Cardiology, 31(1), 39-40. https://doi.org/10.30701/ijc.v31i1.156
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