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Heart 91:1088-1089 doi:10.1136/hrt.2004.034959
  • Scientific letters

Mitral balloon valvotomy and left atrial thrombus

Table 1

 Characteristics of patients with and without LA thrombus at initial TOE before planned MBV

Patients with no LA thrombus at TOE Patients with LA thrombus at TOE p Value
Data are represented as mean (SD).
LA, left atrium; LV, left ventricle; RV, right ventricle, TOE, transoesophageal echocardiography.
Number of patients 269 41
Age (years) 60.2 (12.7) 64.9 (11.1) <0.05
Female 217 (81%) 31 (76%) NS
Previous rheumatic fever 102 (38%) 13 (32%) NS
Previous surgical valvotomy 58 (22%) 5 (12%) NS
Atrial fibrillation 189 (70%) 38 (93%) <0.01
Warfarin therapy 253 (94%) 40 (98%) NS
Echo score 6.3 (2.7) 7.0 (3.0) NS
LA echo-dimension 5.34 (1.17) 5.71 (0.93) <0.05
Parsonnet score 14.5 (8.7) 17.1 (8.7) NS
Patients unsuitable for cardiac surgery 52 (19%) 14 (34%) <0.05
Mitral reflux on LV angiogram 89 (33%) 10(24%) NS
LV impairment 20 (7%) 4 (10%) NS
RV systolic pressure (mm Hg) 50.4 (18.0) 57.7 (17.6) <0.05
Mean LA pressure (mm Hg) 25.2 (7.1) 26.7 (5.9) NS
Valve gradient (mm Hg) 12.0 (5.1) 11.6 (3.7) NS
Cardiac output (l/min) 3.67 (0.94) 3.10 (0.72) <0.001
Valve area (cm2) 0.97 (0.30) 0.78 (0.23) <0.001

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