HAIR PIN LOOP TECHNIQUE WITH THREE DIMENTIONAL SHAPE SUPPORTED STYLET FOR SUCCESSFUL BALLOON MITRAL VALVOTOMY IN A DIFFICULT CASE.

Author:

Prasad Sinha Ramanand1,Singh Abhimanu2

Affiliation:

1. Prof dept of cardiology Mahatma Gandhi medical university Jaipur .

2. Dept of cardiology, Senior resident

Abstract

Percutaneous balloon mitral valvotomy using Accura or Inoue balloon is an effective treatment for patients with rheumatic mitral stenosis suitable for valvotomy . Procedural success rates are high in experience hand with success rates are more than 90 %. Inability to cross the mitral valve is one of the prime reasons for procedure failure . We are reporting a case of 35 year female with severe mitral stenosis with severe subvalvular thickness using hairpin loop with double curve support of stylet, where all traditional methods of crossing mitral valve get failed. Mitral valvotomy successfully performed with mitral valve area increase from 0.5 cm2 to 2.1 cm 2.

Publisher

World Wide Journals

Reference7 articles.

1. Meier B, Modified Inoue technique for difficult mitral balloon commissurotomycathetcardiovascdiagn. 1992;26:316-18.

2. Mehan VK, Meier B. Impossibility to cross a stenotic mitral valve B with the inoueballoon : success with a modified technique. Indian Heart J. 1994;46:51-2.

3. Manjunath CN, Srinivasa KH, Patil CB, Venkatesh HV, Bhoopal TS, Dhanalakshmi C. Balloon mitral valvuloplasty: our experience with a modified technique of crossing the mitral valve in difficult cases. CathetCardiovascDiagn. 1998;44:23-6.

4. Deora S, Vyas C, Shah S. Percutaneous transvenous mitral commissurotomy: a modified over- the- wire technique for difficult left ventricle entry. J Invasive Cardiol. 2013;25:471-3.

5. Trehan V, Mehta V, Mukhopadhyay S, Yusuf J, Kaul UA. Difficult Percutaneous transvenous mitral commissurotomy : a new technique for left atrium to left ventricular entry. Indian Heart J. 2004;56(2):158-62.

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