Pulmonary artery pressure response to percutaneous mitral valvuloplasty: Associated factors and clinical implications
Catheterization and Cardiovascular Interventions2021Vol. 99(3), pp. 915–923
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Igor Ferreira de Sales, Lucas Lodi‐Junqueira, Guilherme Rafael Sant’Anna Athayde, Marta Eugenia Alcici, Tatiana Costa Diamantino, Lucas Campos Barbosa e Silva, Frederico Vargas Botinha Macedo, Clara L. Fraga, Breno Camargos Mucelli Spalaor, Pedro Victor Silva Valente, Juliana Rodrigues Soares, Timothy C. Tan, William Antônio de Magalhães Esteves, Maria Carmo Pereira Nunes
Abstract
In patients with MS undergoing PMV, pulmonary pressures may not reduce immediately after the procedure, despite adequate opening of the valve. Abnormal PAP response can be predicted from baseline clinical and valvular characteristics as well as post-procedural left ventricular compliance. The lack of any immediate reduction in mPAP is not associated with long-term adverse outcomes.
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