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Objective : To review the outcome of percutaneous mitral balloon commissurotomy (PMBC) both to maternal and neonatal survivalbility Methods : The search was conducted on Pubmed®, Cochrane Library®, and Ovid® using MeSH. Critical appraisal determining the validity, importance, and applicability (VIA) was conducted by two independent authors. Preganant woment with MS with functional class grading based on NYHA Results : Several studies showed that performing the PMBC had good outcome for pregnant women functional class based on NYHA. Most of them decreased from NYHA III/IV to I/II. For delivery outcome, all studies concluded that more than 80% pregnant women with mitral stenosis undergoing PMBC delivered at term, and no congenital anomalies found. Conclusions : A decrease in NYHA functional class was observed after PMBC Percutaneous mitral balloon commissurotomy for pregnant women with severe MS is safe during pregnancy.

The Outcome of Percutaneous Mitral Balloon Commissurotomy (PMBC) in Pregnant Women with Mitral Stenosis: An Evidence Based Study