Q. Anatomic Factors in Patient Selection for Mitral Valvuloplasty ?

The ideal patient is young, has pliable non calcified mitral leaflets, and mild subvalvular disease. TEE may be necessary to exclude LA thrombus and significant mitral regurgitation pre-procedure. Massive valvular calcification and bicommisural calcification are obviously contraindications for the procedure

The echocardiographic scoring system by Wilkins et al is very helpful to decide an anatomically suitable valve for Mitral Valvuloplasty. The maximum score is 16. A score of < 8 generally gives excellent results.