45 female, severe MS (area =0.79cm2) with a mean gradient of 23mmHg; mild MR <1+, mild to moderate TR <2+, estimated RV systolic pressure: 48mmHg; Normal LV size and LVEF=57%; Left atrial minor axis: 5.5cm, The mitral valve leaflets appear thickened, but open well, not calcified based TEE by the cardiologist.
Question:
1. Is the "Percutaneous Mitral Balloon Valvotomy 1st choice for the MS patient if the patient is a good candidate?
2. Does open commissurotomy have a better post operative outcome when compared to the Percutaneous mitral balloon valvotomy?
3. Any suggestions for the hospitals and Doctors who are best on PMBV procedure?
Thanks