Related Experiment Video
Updated: May 17, 2026
08:12
Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Modified technique of Joseph balloon mitral valvuloplasty
Arunkumar Panneerselvam1, Ramasamy Palanimuthu
1Department of Cardiology, PSG Institute of Medical Sciences and Research, Peelamedu, Coimbatore 641004, India. drparun1976@gmail.com
Cardiovascular Intervention and Therapeutics
|October 30, 2012
Summary
A modified technique for Joseph balloon mitral valvuloplasty successfully navigated challenging cases with giant left atria. This approach ensures procedural success in patients with severe mitral stenosis and enlarged left atria.
Area of Science:
- Cardiology
- Interventional Cardiology
- Cardiac Catheterization
Background:
- Severe symptomatic mitral stenosis necessitates effective treatment options.
- Joseph balloon mitral valvuloplasty is a recognized single-balloon technique for mitral stenosis.
Observation:
- Standard balloon catheter advancement was difficult in a patient with a grossly dilated left atrium.
- The guidewire prolapsed into the left atrium during attempted catheter advancement.
Findings:
- A modified technique utilizing a 14F long introducer sheath facilitated balloon catheter manipulation into the left ventricle.
- This modified approach enabled successful completion of balloon mitral valvuloplasty.
Implications:
- This technique offers a viable solution for balloon mitral valvuloplasty in patients with giant left atria.
- It expands the applicability of minimally invasive mitral stenosis treatment.
- Successful intervention in complex anatomies improves patient outcomes.
More Related Videos
Related Concept Videos
01:26Mitral Stenosis III: Medical Management
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
01:25Mitral Regurgitation III: Medical Management
Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
01:22Mitral Valve Prolapse II: Assessment and Management
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular tachycardia.
01:20Mitral Regurgitation I: Introduction
Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
01:22Mitral Stenosis I: Introduction
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...