Assessment of suitability for percutaneous mitral commissurotomy: a contemporary review of key anatomical criteria and predictive models

Mohammad Abdelghani; Maria Carmo P Nunes; Ashraf M Anwar; Bernard Prendergast

doi:10.1093/ehjci/jeae052

Assessment of suitability for percutaneous mitral commissurotomy: a contemporary review of key anatomical criteria and predictive models

Eur Heart J Cardiovasc Imaging. 2024 May 31;25(6):739-753. doi: 10.1093/ehjci/jeae052.

Authors

Mohammad Abdelghani^{1

2

3}, Maria Carmo P Nunes⁴, Ashraf M Anwar^{1

5}, Bernard Prendergast^{6

7}

Affiliations

¹ Cardiology Department, Al-Azhar University, Nasr City, 11651 Cairo, Egypt.
² Cardiology Unit, Sohar Hospital, Muwelleh Street, 311 Sohar, Oman.
³ Cardiology Department, Amsterdam University Medical Center, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands.
⁴ Hospital das Clinicas, School of Medicine, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
⁵ Department of Cardiology, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia.
⁶ Department of Cardiology, Guys and St Thomas' NHS Foundation Trust Hospital London, London, UK.
⁷ Heart, Vascular & Thoracic Institute, Cleveland Clinic London, London, UK.

PMID: 38376989
DOI: 10.1093/ehjci/jeae052

Abstract

The immediate result of percutaneous balloon mitral commissurotomy is largely determined by the anatomy of the mitral valve complex. Several scores and models have been developed to assess anatomical suitability for percutaneous balloon mitral commissurotomy. Although none has an optimal predictive power, these models look at the valvular apparatus from different perspectives bearing the potential for a complementary role.

Keywords: anatomy; balloon valvuloplasty; commissurotomy; echocardiography; mitral stenosis; morphology; scores.

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Publication types

Review

MeSH terms

Balloon Valvuloplasty
Cardiac Catheterization / methods
Female
Humans
Male
Mitral Valve / anatomy & histology
Mitral Valve / diagnostic imaging
Mitral Valve / surgery
Mitral Valve Stenosis* / diagnostic imaging
Mitral Valve Stenosis* / surgery
Patient Selection
Predictive Value of Tests
Risk Assessment
Severity of Illness Index
Treatment Outcome