Percutaneous heart valve interventions: a South African perspective

Valvular heart disease represents a significant health care challenge in South Africa, mainly due to the prevalence of rheumatic fever. This review discusses the recent advances in percutaneous heart valve treatment, including heart valve replacement, as an alternative to open prosthetic valve repla...

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Autores principales:	H. Weich, A.F. Doubell
Formato:	article
Lenguaje:	EN
Publicado:	South African Heart Association 2017
Materias:	valvular heart disease cardiology south africa Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/642f962ed724483097ecafe0993cf4b7
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id	oai:doaj.org-article:642f962ed724483097ecafe0993cf4b7
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spelling	oai:doaj.org-article:642f962ed724483097ecafe0993cf4b72021-11-22T07:13:04ZPercutaneous heart valve interventions: a South African perspective10.24170/6-2-19961996-67412071-4602https://doaj.org/article/642f962ed724483097ecafe0993cf4b72017-04-01T00:00:00Zhttps://www.journals.ac.za/index.php/SAHJ/article/view/1996https://doaj.org/toc/1996-6741https://doaj.org/toc/2071-4602Valvular heart disease represents a significant health care challenge in South Africa, mainly due to the prevalence of rheumatic fever. This review discusses the recent advances in percutaneous heart valve treatment, including heart valve replacement, as an alternative to open prosthetic valve replacement and it’s relevance in South Africa. Balloon mitral valvotomy is discussed with emphasis on patient selection, management during pregnancy and management in the presence of left atrial thrombus. Further developments regarding the percutaneous treatment of mitral valve disease include percutaneous treatment of mitral incompetence by annuloplasty via the coronary sinus and edge-to-edge repair with the aid of a mitral clip. Transcatheter aortic valve replacement is the more developed procedure and two valves have the CE mark of approval. Both have good short to medium term data demonstrating efficacy but are technically difficult to insert, very expensive and patient selection remains a major problem. Their use is thus limited to patients turned down for conventional surgery. Percutaneous pulmonary valve replacement has good evidence to show efficacy but its use is largely limited to patients with degenerated pulmonary outflow tract conduits.H. WeichA.F. DoubellSouth African Heart Associationarticlevalvular heart diseasecardiologysouth africaDiseases of the circulatory (Cardiovascular) systemRC666-701ENSA Heart Journal, Vol 6, Iss 2, Pp 90-99 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	valvular heart disease cardiology south africa Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	valvular heart disease cardiology south africa Diseases of the circulatory (Cardiovascular) system RC666-701 H. Weich A.F. Doubell Percutaneous heart valve interventions: a South African perspective
description	Valvular heart disease represents a significant health care challenge in South Africa, mainly due to the prevalence of rheumatic fever. This review discusses the recent advances in percutaneous heart valve treatment, including heart valve replacement, as an alternative to open prosthetic valve replacement and it’s relevance in South Africa. Balloon mitral valvotomy is discussed with emphasis on patient selection, management during pregnancy and management in the presence of left atrial thrombus. Further developments regarding the percutaneous treatment of mitral valve disease include percutaneous treatment of mitral incompetence by annuloplasty via the coronary sinus and edge-to-edge repair with the aid of a mitral clip. Transcatheter aortic valve replacement is the more developed procedure and two valves have the CE mark of approval. Both have good short to medium term data demonstrating efficacy but are technically difficult to insert, very expensive and patient selection remains a major problem. Their use is thus limited to patients turned down for conventional surgery. Percutaneous pulmonary valve replacement has good evidence to show efficacy but its use is largely limited to patients with degenerated pulmonary outflow tract conduits.
format	article
author	H. Weich A.F. Doubell
author_facet	H. Weich A.F. Doubell
author_sort	H. Weich
title	Percutaneous heart valve interventions: a South African perspective
title_short	Percutaneous heart valve interventions: a South African perspective
title_full	Percutaneous heart valve interventions: a South African perspective
title_fullStr	Percutaneous heart valve interventions: a South African perspective
title_full_unstemmed	Percutaneous heart valve interventions: a South African perspective
title_sort	percutaneous heart valve interventions: a south african perspective
publisher	South African Heart Association
publishDate	2017
url	https://doaj.org/article/642f962ed724483097ecafe0993cf4b7
work_keys_str_mv	AT hweich percutaneousheartvalveinterventionsasouthafricanperspective AT afdoubell percutaneousheartvalveinterventionsasouthafricanperspective
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Percutaneous heart valve interventions: a South African perspective

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