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 Feb 20:jeae052. doi: 10.1093/ehjci/jeae052. Online ahead of print.

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, Cairo, Egypt.
² Cardiology Unit, Sohar Hospital, Sohar, Oman.
³ Cardiology Department, Amsterdam University Medical Center, University of Amsterdam.
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, United Kingdom.
⁷ Cleveland Clinic London, London, UK.

PMID: 38376989
DOI: 10.1093/ehjci/jeae052

Abstract

The immediate result of percutaneous balloon mitral commissurotomy (PMC) is largely determined by the anatomy of the mitral valve complex. Several scores and models have been developed to assess anatomical suitability for PMC. 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.