Introduction: 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.