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Mitral stenosis is an obstruction of blood flowing from the left atrium into the left ventricle. Balloon valvuloplasty is an alternative to valve replacement in patients with critical stenosis,it is a procedure that may relieve many of the symptoms of valve disease, but it will not cure valve disease. Some patients may continue to need medications, even after a successful procedure. Patients will need to continue seeing their doctors regularly after the procedure to make sure that cardiac valves are working properly.Aim: This study aimed to suggest discharge guidelines for patients undergoing Percutaneous Balloon Mitral Valvotomy. Methods: A descriptive explorative design was utilized for the conduction of this study. The study was conducted at the Cardiology Departments and out patients Clinics in Cardio Vascular Hospital, affiliated to Ain Shams University Hospitals. Sample: A Purposive sample of 60 adult patients of both gender undergoing percutaneous balloon mitral valvotomy were involved in this study. Tools: Three tools were used as follow; I- A structured interviewing questionnaire form to assess needs of patients including the following parts: A- Socio-demographic data sheet, and B - Patient's needs assessment sheet. II- Patients' medical records III- Psychometric assessment includes (Hamilton’s anxiety rating scale & Numerical pain scale). Results: The majority of the studied patients (90 % & 80% respectively) had unmet physical, social and educational needs, most of them (75%) had unmet psychological needs, and more than half of them had unmet spiritual needs, while post procedure only physical and educational needs were persistent in (70% & 60 %) of them respectively. Conclusion: There was a statistical significance relation between patients' needs and their characteristics as regards: age, gender, income, marital status and educational level. Recommendations: Further research studies are needed to focus on the assessment of the quality of life of such group of patients.

Suggested Discharge Guidelines for Patients Undergoing Percutaneous Balloon Mitral Valvotomy