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1. Auteurs

Author

Jean-Yves, Artigou, Jean-Jacques, Monsuez, Bernard, Bauduceau, Jacques, Blacher, Didier, Carrié, Ariel, Cohen, Martine, Gilard, Albert, Hagège, Sébastien, Hascoet, Richard, Isnard, Bernard, Iung, Yves, Juillière, Philippe, Lechat, Antoine, Leenhardt, Damien, Metz, Emmanuel, Messas, Jean-François, Obadia, Florence, Pinet, Raymond, Roudaut, Éric, Abergel, Saroumadi, Adavane-Scheuble, Salma, Adham, Julien, Adjedj, Bernard, Albat, Vincent, Algalarrondo, Véronique, Alibert, Sophie, Allepaerts, Pierre, Alric, Nicolas, Amabile, Laurence, Amar, Pascal, Amedro, Yann, Ancedy, Jean-Noël, Andarelli, Clémentine, André, Ramaroson, Andriantsitohaina, Denis, Angoulvant, Frédéric, Anselme, Hélène, Ansquer, Jean-Baptiste, Anzouan-Kackou, Aïcha, Aouad, Florence, Arnoult, Nicolas, Arribard, André, Atallah, Pierre, Aubry, Jean-François, Aupetit, Marie, Aymami, Armand, Aymard, Michel, Azizi, Dominique, Babuty, Magnus, Bäck, Jean-Philippe, Baguet, Fanny, Bajolle, Stéphanie, Baron, Stéphanie, Barrère-Lemaire, Alban-Elouen, Baruteau, Nils, Basillais, Alberto, Battaglia, Clément, Batteux, Florence, Beauvais, Pierrick, Bedouch, Theodora, Bejan-Angoulvant, Hasnaa, Belghiti, Reda, Belhaj Soulami, Emre, Belli, Sabrina, Ben Ahmed, Nesma, Bendagha, Myriam, Bensemlali, Alain, Berdeaux, Claire, Bertail-Galoin, Emmanuelle, Berthelot, Francis, Bessière, Isabelle, Bidaud, Loïc, Bière, Nicolas, Bihry, Jean-Pierre, Binon, Annouk, Bisdorff-Bresson, Arnaud, Bisson, Franck, Boccara, Olivia, Boccara, Thomas, Bochaton, Diane, Bodez, Angèle, Boet, Yohann, Bohbot, Catherine, Boileau, Laurent, Bonello, Éric, Bonnefoy, Lyse, Bordier, Jacques, Boschat, Gilles, Bosser, Béatrice, Bouhanick, Sarrah, Boukthir, Claire, Bouleti, Karl, Bounader, Pierre, Bourgoin, Pierre, Boutouyrie, Hélène, Bouvaist, Ebba, Brakenhielm, Philippe, Brenot, François, Brigadeau, Richard, Brion, Éric, Brochet, Amaury, Broussier, Sok-Sithikun, Bun, Alessandra, Bura-Riviere, David, Calvet, Ludovic, Canaud, Florence, Canoui-Poitrine, François, Carré, Vincent, Cattoir, Guillaume, Cayla, Pascal, Challande, Stéphane, Champiat, Alain, Chantepie, Bernard, Chanu, Sandrine, Charpentier, Philippe, Charron, Marion, Chauvet-Droit, Michel, Chauvin, Charles, Cheng, Mohamed, Chettibi, Philippe, Chevalier, Hélène, Chiavelli, Sidney, Chocron, Caroline, Chopinet-Degrugillier, Alexandre, Cinaud, Vittorio, Civelli, Nicolas, Clémenty, Alexandre, Cochet, Sarah, Cohen, Alain, Cohen-Solal, Jean-Philippe, Collet, Nicolas, Combes, Xavier, Copie, Hervé, Corbineau, Mihaela, Cordeanu, Bertrand, Cormier, Erika, Cornu, Yves, Cottin, Pierre-Yves, Courand, Jean-Luc, Cracowski, Antoine, Cremer, Bertrand, Crozatier, Caroline, Cueff, Fabio, Cuttone, Marie-Pia, d'Ortho, Antoine, Da Costa, Thibaud, Damy, Christian, De Chillou, Pascal, De Groote, la Villéon Grégoire, De, Pascal, Defaye, Jean-Claude, Deharo, François, Delahaye, Xavier, Delavenne, Claude, Delcayre, Antoine, Delinière, Clément, Delmas, Jean-Guillaume, Delpey, Pascal, Delsart, Isabelle, Denjoy, Thierry, Denolle, Jean-Pol, Depoix, François, Derimay, Geneviève, Derumeaux, Michel, Desnos, Jean-François, Deux, Isabelle, Di Centa, Sylvie, Di Filippo, Romain, Didier, Marina, Dijos, Jean-Guillaume, Dillinger, Marie-Lou, Dinet, Olivia, Domanski, Valérie, Domigo, Erwan, Donal, Hervé, Douard, Caroline, Dourmap, Denis, Duboc, Émilie, Dubois-Deruy, Olivier, Dubourg, Virginie, Dufrost, Yves, Dulac, Patrick, Dupouy, Xavier, Duval, Stéphane, Ederhy, Fedoua, El Louali, Meyer, Elbaz, Ludivine, Eliahou, Joseph, Emmerich, Laura, Ernande, Fabrice, Extramiana, Elie, Fadel, Laurent, Fauchier, Jean-Pierre, Fauvel, Antoine, Fayol, Jean-Luc, Fellahi, Émile, Ferrari, Marc, Ferrini, Marie, Fertin, Pierre, Fesler, Gérard, Finet, Erwan, Flécher, David, Fouassier, Virginie, Fouilloux, Jean-Marc, Frapier, Alain, Furber, Sébastien, Gaertner, Vincent, Galand, Arnault, Galat, Michel, Galinier, Thomas, Gandet, Estelle, Gandjbakhch, Rania, Gargouri, Anne, Garnier, Jérôme, Garot, Gauthier, Garret, Arthur, Gavotto, Etienne, Gayat, Dominique, Germain, Pierre, Gibelin, Paule, Gimenez-Roqueplo Anne, François, Godart, François, Goehringer, Sylvie, Gonzalez, Francisco, Gonzalez-Barlatay, Philippe, Gosse, Guillaume, Goudot, Jean-Baptiste, Gourraud, Marielle, Gouton, Daniel, Grinberg, Robert, Grolleau-Raoux, Yves, Gruel, Etienne, Grunenwald, Laurence, Guédon-Moreau, Soulef, Guendouz, Pascal, Guéret, Patrice, Guérin, Loïc, Guillevin, Philippe, Guilpain, Aitor, Guitarte, Gilbert, Habib, Khaled, Hadeed, Philippe, Hainaut, Jean-Michel, Halimi, Xavier, Halna Du Fretay, Quentin, Hauet, Tristan, Hazelzet, Gérard, Helft, Daniel, Henrion, Patrick, Henry, Françoise, Hidden-Lucet, Dominique, Himbert, Bruno, Hoen, Ali, Houeijeh, Jean-Pierre, Houppe, Lucile, Houyel, Fabien, Huet, Justine, Hugon-Rodin, Marc, Humbert, Olivier, Huttin, Fabien, Hyafil, Jocelyn, Inamo, Pauline, Issaurat, Mélanie, Jeanmichel, Guillaume, Jondeau, Adrien, Joseph, Patrick, Jourdain, Xavier, Jouven, Laurent, Juillard, Jean-Michel, Juliard, Clément, Karsenty, Kelly Robert, G., Lina, Khider, Didier, Klug, Michel, Komajda, Claude, Kouakam, Serge, Kownator, Florence, Kyndt, Fabien, Labombarda, Louis, Labrousse, Alain, Lacampagne, Patrick, Lacolley, Philippe, Lacroix, Magalie, Ladouceur, Stéphane, Lafitte, Jérémy, Laïk, Marc, Laine, Olivier, Lairez, Nicolas, Lamblin, Steve, Lancel, Patrizio, Lancellotti, Thierry, Langanay, Emmanuel, Lansac, Pierre, Lantelme, Violaine, Laparra, François-Xavier, Lapebie, Anne-Laure, Laprérie, Jihed, Laribi, Gilles, Lascault, Gabriel, Laţcu Decebal, Benoît, Lattuca, Claude, Laurian, Daniela, Laux, Mathieu, Le Bloa, Emmanuel, Le Bret, Claude, Le Feuvre, Laurianne, Le Gloan, Jean-Yves, Le Heuzey, Jérôme, Le Pavec, Céleste, Le Roux, Thierry, Le Tourneau, Guillaume, Lebreton, Jean-Michel, Lecerf, Christophe, Leclercq, Thibault, Leclercq, Guillaume, Ledieu, Bruno, Lefort, Alain, Leguerrier, Bernard, Lelong, Hélène, Lelong, Valentine, Léopold, Antoine, Lepillier, Pascal, Leprince, Lionel, Leroux, Maurice, Levy, Thibault, Lhermusier, Pascal, Lim, Damien, Logeart, Gervaise, Loirand, Marilucy, Lopez-Sublet, Aurélien, Lorthioir, Philippe, Mabo, Anne-Laure, Madika, Isabelle, Magnin-Pouli, Isabelle, Mahe, Lorraine, Maitrot-Mantelet, Alice, Maltret, Elia, Mangoni Matteo, Nicolas, Mansencal, Jacques, Mansourati, Pascale, Maragnes, Bertrand, Marcheix, Stella, Marchetta, Sylvestre, Maréchaux, Ariane, Marelli, Alexandre, Maria, Eloi, Marijon, Christelle, Marquié, Carmen, Martinez M., Raphaël, Martins, Jean-Louis, Mas, Stefan, Matecki, Amel, Mathiron, Pierre, Mauran, Philippe, Maury, Alexandre, Mebazaa, Philippe, Ménasché, Nicolas, Meneveau, Jean-Jacques, Mercadier, Pietro, Mesirca, Anne, Messali, Alexandre, Métras, Olivier, Metton, Christophe, Meune, Takouhie, Mgrditchian, Olivier, Milleron, Sarah, Millot, Lucile, Miquerol, Patrick, Mismetti, Julia, Mitchell, Jean-Pierre, Monassier, Jean-Luc, Monin, Pierre-Emmanuel, Morange, Adrien, Moreau, Anne, Moreau De Bellaing, Meriem, Mostefa Kara, Pascal, Motreff, Basile, Mouhat, Manon, Moulis, Claire, Mounier-Vehier, Frédéric, Mouquet, Jean-Jacques, Mourad, Arnold, Munnich, Joël, Nargeot, Philippe, Nguyen, Pascal, Nhan, Robert, Nicodème, Sandro, Nini, Jacky, Nizard, Antoine, Noël, Emmanuel, Noly Pierre, Karine, Nubret, Silvia, Oghina, Jean-Pierre, Ollivier, Olivier, Ormezzano, Caroline, Ovaert, Michel, Ovize, Franck, Paganelli, Luc, Pasquié Jean, Dominique, Pavin, Bruno, Pavy, Olivier, Paziaud, Julien, Peltan, Mathieu, Pernot, Francis, Pesteil, Jérôme, Petit, Pierard Luc, A., Bertrand, Pierre, Olivier, Piot, Jérôme, Piquereau, Nicolas, Piriou, Geneviève, Plu Bureau, Hélène, Pluchart, Baptiste, Polin, Thibaut, Pommier, Margaux, Pontailler, Jean, Porterie, Charlotte, Potelle, Françoise, Pousset, Matteo, Pozzi, Vincent, Pradeau, Pascal, Priollet, Vincent, Probst, Fabrice, Prunier, Brigitte, Raccah-Tebeka, Marc, Radermecker, Véronique, Regnault, Matthieu, Revest, Jean, Ribstein, Marlène, Rio, Gilles, Rioufol, Luc, Rochette, Anne, Rollin, Mauro, Romano, Agnès, Rötig, François, Roubille, Gérald, Roul, Jean-Christian, Roussel, Matthieu, Roustit, Simon, Rouze, François, Rouzet, Frederic, Sacher, Audrey, Sagnard, Jane-Lise, Samuel, Nadir, Saoudi, Marc, Sapoval, Vincent, Sauzeau, Laurent, Savale, Jean-Marc, Sellal, Christine, Selton-Suty, Jean-Michel, Sénard, Pierre, Seners, Florence, Sens, Marie-France, Seronde, Ardalan, Sharifzadehgan, Georgios, Sideris, François, Silhol, Jean-Sébastien, Silvestre, Aïda, Soufiani, Laurie, Soulat-Dufour, Géraud, Souteyrand, Olivier, Steichen, Dominique, Stephan, Pierre, Suchon, Elodie, Surget, Pierre, Tattevin, Jean-Benoît, Thambo, Arthur, Thery, Hélène, Thibault, Aurélie, Thollet, Daniel, Thomas, Julie, Thomas-Chabaneix, Nicolas, Tiberghien, Jacques, Tomasi, Claire, Toquet, Angelo-Giovanni, Torrente, Guillaume, Treulet, Christophe, Tribouilloy, Jean-Noël, Trochu, Sarah, Tubiana, Annie, Turkieh, William, Uhlrich, Marina, Urena, Bernard, Vaisse, Alexandre, Vallée, Caroline, Vayne, Géraldine, Vedrenne, Vladimir, Veksler, Clément, Venner, Renée, Ventura-Clapier, Bruno, Vergès, Mathieu, Vergnat, Clémence, Vernay, Céline, Verstuyft, Emmanuelle, Vidal-Petiot, Stéphane, Vignes, Marc, Villaceque, Olivier, Villemain, Marie, Vincenti, Cécile, Vindis, Gaetano, Vitale, Jean-Jacques, Von Hunolstein, Pascal, Vouhé, Karim, Wahbi, Denis, Wahl, Xavier, Waintraub, Karine, Warin Fresse, Alexandra, Yannoutsos, Hermann, Yao, Samuel, Zarka, Michel, Zeitouni, Marianne, Zeller, Laetitia, Zerkowski, and Stéphane, Zuily

Published
2020
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2. [Pediatric cardiac transplantation. Long-term results and problems]

Author

Di Filippo S, LUCILE HOUYEL, Petit J, Sassolas F, and Bozio A

Subjects
Graft Rejection, Heart Defects, Congenital, Adolescent, Biopsy, Myocardium, Infant, Newborn, Infant, Coronary Disease, Kidney, Echocardiography, Doppler, Survival Rate, Electrocardiography, Treatment Outcome, Child, Preschool, Heart Transplantation, Humans, France, Cardiomyopathies, Child, Retrospective Studies
Abstract

The aim of this study was to establish an assessment for cardiac transplantation by retrospective analysis of data from two French centres. Screening for acute rejection was ensured by systematic myocardial biopsies for patients aged over 10 years, and by clinical non-invasive follow up, ECG and Doppler echo in the younger ones. Coronaropathy was screened for by coronarography or stress echography. Eighty three cardiac transplantations were performed in 82 patients aged 9.2 +/- 6 years. The follow up was 5.8 +/- 4.8 years. Survival was 86% at 1 month, 76% at 1 year, 73% at 5 years and 60% at 10 years and did not differ for age at transplantation (p = 0.88) or the initial pathology (p = 0.25). Twenty-nine patients died in the period between 3 days to 11 years, of which 13 were during the first month and 9 after one year (of which 4 were acute rejections and 2 coronaropathies). The incidence of acute rejection was 1.8 episodes per patient; 42% were late rejections, through non-compliance for half of them. Systematic biopsy was useful in the first 3 months post transplant. Eight patients (9.6%) presented with coronaropathy of the graft, progressive for 5 of them. Renal function was altered in 12% of cases, especially in the patients transplanted before the age of 2 years. The results of paediatric cardiac transplantation are satisfactory. Acute rejection and therapeutic compliance for adolescents, graft coronaropathy, and renal function of infants remain the principal elements for the long term prognosis.

Published
2003

3. [Interarterial and intramural coronary trajectoris: anatomic aspects and surgical implications]

Author

LUCILE HOUYEL and Planché C

Subjects
Anthropometry, Coronary Vessel Anomalies, Humans, Pulmonary Artery, Coronary Vessels, Aorta
Abstract

Among the coronary trajectory anomalies found not only in congenital cardiopathies but also in otherwise normal hearts, the terms intramural and interarterial are still used in an ambiguous fashion too frequently. Study of the embryonic development of the coronaries allows a better understanding of the possibility of such a trajectory, (existence of the periarterial sheath). Certain anatomical factors favour the existence of an intramural coronary trajectory, the coronary always being tangential to the aorta in this case: paracommissural ostium, ostium situated too high, departure of the coronary at an acute angle, and ostium in the form of a slit. However, interarterial and intramural are not synonyms. In the case of a coronary trajectory tangential to the aorta, three anatomical and histological situations are possible: free trajectory, with the aorta and the coronary each having its own media and its own adventitia; adherent trajectory, with two separate media covered by a common adventitia: and true intramural trajectory, with fusion of the media without interposition of adventitia. These three situations have different surgical implications in the case of coronary reposition.

Published
2002

4. [Ebstein anomaly. Anatomic aspects]

Author

LUCILE HOUYEL

Subjects
Ebstein Anomaly, Heart Valve Prosthesis, Infant, Newborn, Humans, Abnormalities, Multiple, Tricuspid Valve
Published
2002

5. Les auteurs

Author

Ariel, Cohen, Jean-Jacques, Mercadier, Victor, Aboyans, Laurence, Amar, Denis, Angoulvant, Michel, Azizi, Lévi-Dan, Azoulay, Sabrina, Ben Ahmed, Franck, Boccara, Delphine, Borgel, Jean, Capron, Sophie, Dupont, Nathan, El Bèze, Joseph, Emmerich, Gregory, Franck, Emmanuel, Gall, Lucile, Houyel, Jean-Sébastien, Hulot, Bernard, Iung, Fabrice, Ivanes, Caroline, Kerneis, Guillaume, Lamirault, Damien, Legallois, Gilles, Lemesle, Thierry, Le Tourneau, Aurélien, Lorthioir, Emmanuel, Messas, Guy, Meyer, Jean-Baptiste, Michel, Paul-Ursmar, Milliez, Élodie, Miquelestorena-Standley, Pascal, Nhan, Alain, Nitenberg, Florence, Sanchez, Aurélie, Sannier, Jean-Marc, Schleich, Claire, Toquet, Jean-Noël, Trochu, Anne-Isabelle, Tropéano, Emmanuelle, Vidal-Petiot, and Flavien, Vincent

Published
2021
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6. [Idiopathic dilatation of the pulmonary artery. Echocardiographic aspects]

Author

Boutin C, Davignon A, Fournier A, LUCILE HOUYEL, and Van Doesburg N

Subjects
Heart Defects, Congenital, Male, Adolescent, Child, Preschool, Humans, Infant, Female, Pulmonary Artery, Child, Echocardiography, Doppler, Dilatation, Pathologic
Abstract

The authors compared 30 patients with at least one clinical sign of idiopathic dilatation of the pulmonary artery, with a group of 20 normal control subjects in order to establish diagnostic criteria for this condition. In the first group, 17 had characteristic radiological findings and 13 others had clinical signs of idiopathic dilatation of the pulmonary artery. Comparison with the control group showed significant differences (p0.05) in 4 parameters: 1) the diameter of the pulmonary artery at the bifurcation/m2 body surface area (2.8 +/- o.4 cm versus 2.4 +/- 0.4 cm), 2) the diameter of the aorta 2 cm beyond the aortic valve/m2 of body surface area (1.7 +/- 0.3 cm versus 2.1 +/- 0.7 cm), 3) the ratio of pulmonary artery/aortic diameters at the valve rings (1.4 +/- 0.2 versus 1.1 +/- 0.02); 4) the ratio of the aorta 2 cm beyond the valve/aortic ring (1.02 +/- 0.07 versus 1.09 +/- 0.09). The diagnostic criteria of idiopathic dilatation of the pulmonary artery in the absence of cardiac or pulmonary disease are: 1) ratio of pulmonary artery diameter at its bifurcation/aortic ring diameter or 2 cm beyond the aortic valve ofor = 1.4; 2) ratio of pulmonary/aortic ring diametersor = 1.5.

Published
1994

7. [Cardiac transplantation for old congenital heart diseases after multiple surgery]

Author

Macé L, Dervanian P, Petit J, LUCILE HOUYEL, Jm, Grinda, Ta, Folliguet, Jp, Duffet, Nottin R, and Jy, Neveux

Subjects
Adult, Heart Defects, Congenital, Male, Reoperation, Adolescent, Heart Transplantation, Humans, Female, Vascular Resistance, Pulmonary Artery, Follow-Up Studies
Abstract

Of the 100 consecutive patients undergoing cardiac transplantation between January 1988 and October 1993, 4 patients had terminal cardiac failure related to congenital heart disease after multiple prior palliative procedures (transposition of the great arteries, N = 1, tricuspid atresia, N = 1, single ventricle, N = 2). The prior palliative or curative operations (average 3.75 procedures per patient) modified essentially the systemic venous return and the pulmonary arteries. The technique of "subtotal" cardiac transplantation enabled anatomical reconstruction without prosthetic material in all cases by extensive usage of the donor tissue. There was no hospital mortality. There were no specific postoperative complications. The long-term results were comparable to those of the rest of the transplanted population. Patients with congenital heart disease in a terminal condition should be considered as candidates for cardiac transplantation. The difficulties related to anatomical abnormalities caused by prior surgery may be overcome and should not be considered a contra-indication to transplantation, providing pulmonary arterial resistances are taken into consideration.

Published
1994

8. [Successful pregnancy after Fontan procedure complicated by recurrent junctional tachycardia]

Author

Gérardin B, LUCILE HOUYEL, Discazeaux B, Farhi P, and Estampes B

Subjects
Adult, Heart Defects, Congenital, Pregnancy, Recurrence, Heart Ventricles, Tachycardia, Ectopic Junctional, Pregnancy Complications, Cardiovascular, Humans, Female, Tricuspid Valve, Cardiac Surgical Procedures, Anti-Arrhythmia Agents
Abstract

A woman had a successful pregnancy with a normal delivery at 33 weeks seven years after a modified Fontan procedure for tricuspid atresia. This pregnancy was associated with aggravation of attacks of junctional tachycardia which became symptomatic and recurrent despite prescription of several antiarrhythmic agents.

Published
1993

9. [Neonatal heart transplantation. First results]

Author

LUCILE HOUYEL, Petit J, Losay J, Touchot-Kone A, Bruniaux J, Blaysat G, Morville P, Serraf A, Lacour-Gayet F, and Planché C

Subjects
Graft Rejection, Heart Defects, Congenital, Prednisolone, Infant, Newborn, Heart Transplantation, Humans
Abstract

Two 5- and 17-days old neonates with hypoplastic left heart syndrome respectively underwent orthotopic heart transplantation. The donor-recipient weight ratio was +58 percent and +88 percent; ischemic time was 144 and 167 min. The immunosuppressive protocol included thymoglobulin during the induction period and a classical 3-drug therapy, with a rapid tapering off of prednisone over 3 weeks. No infectious complication was observed; each infant experimented one episode of acute rejection, successfully treated with prednisolone. Forty-three months and 10 months later, the 2 children are doing well, with normal renal function and normal growth. No late rejection episode was observed. Heart transplantation in neonates is feasible, the short-term and mid-term results are good. Despite important ethical problems, heart transplantation represents a great hope for neonates with inoperable congenital heart defects.

Published
1992

10. [Criteria for choice of the donor in heart transplantation in adults]

Author

LUCILE HOUYEL, Petit J, Jp, Duffet, Nottin R, Macé L, and Jy, Neveux

Subjects
Adult, Heart Transplantation, Humans, Tissue Donors
Abstract

Among 66 consecutive adult heart transplant recipients operated on from January 1988 to October 1991, 11 experimented early graft dysfunction (4 of them died). Mean donor's age was 37.4 +/- 11 years; 9 patients were older than 50 years; 85 percent of donors received dopamine. Were found without any significant influence on early graft function: donor's age, weight mismatch, duration of donor's intensive care, dose of dopamine administered, external cardiac massage and relative hemodynamic instability, and ischemic time. Conversely, a history of chronic alcoholism in the donor is of pejorative significance, which is not without consequences in view of the current scarcity of donors.

Published
1992

11. [Percutaneous mitral valvulotomy: comparison of 2 techniques in 100 matched-pair patients]

Author

Gérardin B, Losay J, Leriche H, Piot D, Petit J, and LUCILE HOUYEL

Subjects
Adult, Aged, 80 and over, Male, Adolescent, Matched-Pair Analysis, Age Factors, Middle Aged, Echocardiography, Doppler, Catheterization, Sex Factors, Humans, Mitral Valve Stenosis, Female, Child, Aged
Abstract

The results of percutaneous mitral valvulotomy by the Double Balloon and the Inoue Balloon were compared in 100 patients referred to Marie-Lannelongue Hospital between 7/11/86 and 8/3/91, paired for age, sex and echocardiographic features of the mitral valve. The transvalvular diastolic pressure gradient at catheterisation or Doppler echocardiography decreased significantly and similarly with the two techniques: -65 +/- 19% versus -64 +/- 15% (p = 0.10) and -66 +/- 22% versus -58 +/- 23% (p = 0.20) for the Double-Balloon and the Inoue Balloon techniques respectively. Similarly, the mitral valve surface area measured by planimetry during echocardiography or calculated from the Gorlin formula increased by 0.9 +/- 0.39 cm2 with the Double Balloon and by 0.88 +/- 0.32 cm2 with the Inoué Balloon (p = 0.91) or by 0.98 +/- 0.62 cm2 versus 0.87 +/- 0.45 cm2 (p = 0.42). The number of commissures opened was the same with both techniques. The evolution of mitral regurgitation after dilatation was similar: stable or less severe in 61% dilated by the Double Balloon and 68% by the Inoue Balloon; aggravation by more than one grade in 7 and 5% respectively (p = 0.17). Complications were rare and comparable with both techniques. The results with the two methods were the same if patients with an optimal indication and those with more severe mitral valve disease were considered separately. The rapidity and simplicity of percutaneous mitral valvulotomy with the Inoué Balloon make it the technique of choice.

Published
1992

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