Successful Cardiac Rehabilitation in Pediatric Patient after Percutaneous Balloon Mitral Valvulopasty: Case Report

Background: Mitral stenosis (MS) is the most common sequelae of chronic rheumatic heart disease (RHD). MS usually presents clinically with exertional dyspnoea anddecreased exercise tolerance. Percutaneous mitral balloon valvuloplasty (PMBV) is the treatment of choice in patients with MS. Nowadays, there is an increasing focus on rehabilitation efforts for paediatric patients who have cardiovascular disease and undergo cardiac intervention, including PBMV. Case Illustration: A boy, 13 years old, suffered signs and symptoms of right heart failure and had very limited physical activity. He was diagnosed as severe MS due to RHD and then referred to National Cardiovascular Center Harapan Kita (NCCHK) for further management. He underwent PBMV and continued phase I and II cardiac rehabilitation in Cardiac Rehabilitation Clinic of NCCHK. After finishing his phase I and II cardiac rehabilitation, patient showed increased functional and aerobic capacity. His functional capacity was 12.93 METs and predicted VO2 max was 45.25 mL O2/kg/min. Then, he was recommended to do phase III cardiac rehabilitation with FITT - VP principle at home. Summary: Cardiac rehabilitation increases both functional and aerobic capacity in pediatric patient after PBMV.