Comparison and Analysis of New Echocardiographic Parameters as Predictors of Immediate Outcomes of REDO PTMC

Mitral stenosis still continuing to be a cause of morbidity and mortality in this part of the country. Restenosis rates after PTMC are 10-20%, and after CMV 20-40% in the coming 2 decades [1]. In REDO PTMC the valve is fibrotic and commmisural morphology which is split in the first procedure becomes fibrotic and calcified. The routine scores which analyze the valve does not take into consideration the commercial morphology so we aimed to study new Echocardiographic parameters and comparison with the existing scores in predicting immediate outcomes of REDO PTMC. Methods and Results: 42 symptomatic patients with mitral restenosis who have undergone REDO PTMC were enrolled and they were divided into 2 cohorts on the outcome as optimal (n=27) and suboptimal (n=15) groups Mean WILKINS SUTARIA and New REDO score were 7.89, 2.33, 8.96 in optimal group, 8.53, 1.60, 10.20 in suboptimal group with significant p value of 0.007 for new REDO score predicting its superior sensitivity over other 2 scores.