A Novel “Over the Wire” Technique for a Case of Difficult Percutaneous Transvenousmitral Commissurotomy
Journal Title: Journal of Clinical and Diagnostic Research - Year 2018, Vol 12, Issue 10
Abstract
ABSTRACT Percutaneous Transvenous Mitral Commissurotomy (PTMC) is the preferred treatment for isolated rheumatic valvular mitral stenosis if the valve has suitable anatomy. Following transseptal puncture, entry into left ventricle is the crucial step. This may be difficult in patients with large left atrium and very severe mitral stenosis. We are reporting a case of 23-year-old female suffering from mitral stenosis in which the mitral valve could not be crossed with standard technique, so a novel “over the wire technique” was used to cross the mitral valve and successful valvotomy was performed without any complication.
Authors and Affiliations
Akshyaya Pradhan, Pravessh Vishwakarma, Monika Bhandari, Rishi Sethi, Varun Shankar Narain
Keywords
Related Articles
- EP ID EP526957
- DOI 10.7860/JCDR/2018/36955.12087
- Views 66
- Downloads 0
Assessing the Safety and Clinical Impact of Thoracoscopic Lung Biopsy in Patients with Interstitial Lung Disease
Introduction: The clinical relevance of surgical lung biopsy in Interstitial Lung Disease (ILD) is supported in the literature. Yet most reports reflect institutional or personal bias. Aim: To evaluate the validity of ra...
Versatility of Transconjunctival Approach in Maxillofacial Trauma-A Prospective Study and Review of Literature
ABSTRACT Introduction: Maxillofacial injuries are multiple and complex type of injuries which require multi-specialty management. Maxillofacial trauma can involve the skin, soft tissues, as well as bones resulting in sin...
Urological Manifestations in HIV and AIDS: At Tertiary Referral Centre
Introduction: The prevalence of HIV and AIDS continues to grow worldwide. Urological manifestations of HIV and AIDS such as urolithiasis, obstructive uropathy, complicated UTI and malignancy are often first clinical sign...
Effective Treatment of Epithelial Downgrowth in Persistent Wound Leak Following Removal of Silicone Oil
This case report aims to share the successful management of Epithelial Downgrowth (ED) which occurred following persistent wound leak, after Removal of Silicone Oil (ROSO) via the anterior chamber. A teenage male with hi...
Pathological Gambling Disorder: An Overview
ABSTRACT Gambling has a long back history and also referred to as ‘Natural evil’. The most well-established finding in literature is conceptualisation of pathological gambling as a behaviour addiction with high rate of a...