Mitral Balloon Commissurotomy Prolonging the Outcome of Surgical Commissurotomy in a Patient With Rheumatic Heart Disease

Luana Fernandes da Silva; Amanda Mendonça da Silva Costa; Clara Weksler; Ellen Fernanda das Neves Braga; Maysa Ramos Vilela; Luciana Coutinho Bezerra; Pamela Santos Borges Araújo; Wilma Felix Golebiovski; Guilherme Dalcol Torres de Amorim

doi:10.1016/j.jaccas.2024.102633

Mitral Balloon Commissurotomy Prolonging the Outcome of Surgical Commissurotomy in a Patient With Rheumatic Heart Disease

JACC Case Rep. 2024 Oct 16;29(20):102633. doi: 10.1016/j.jaccas.2024.102633.

Authors

Luana Fernandes da Silva¹, Amanda Mendonça da Silva Costa¹, Clara Weksler¹, Ellen Fernanda das Neves Braga¹, Maysa Ramos Vilela¹, Luciana Coutinho Bezerra¹, Pamela Santos Borges Araújo¹, Wilma Felix Golebiovski¹, Guilherme Dalcol Torres de Amorim¹

Affiliation

¹ Department of Valvular Heart Diseases, National Institute of Cardiology, Rio de Janeiro, Brazil.

Abstract

Rheumatic heart disease is a serious global health issue that requires early detection and proper secondary prophylaxis. It is critical that governments play an active role in preventive campaigns and ensure access to recommended antibiotics. For symptomatic rheumatic heart disease cases, particularly those with rheumatic mitral stenosis, careful consideration of age and timing of surgical valve replacement is necessary, with a preference for noninvasive interventions when possible. Decision-making should involve a multidisciplinary heart team that assesses patient risks and valve morphology.

Keywords: acute rheumatic fever; cardiac surgery; percutaneous mitral balloon commissurotomy; public health; rheumatic heart disease; valvular stenosis.

Publication types

Case Reports