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Related Concept Videos

Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

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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...
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Mitral Regurgitation III: Medical Management01:25

Mitral Regurgitation III: Medical Management

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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...
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Mitral Valve Prolapse II: Assessment and Management01:22

Mitral Valve Prolapse II: Assessment and Management

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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...
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Mitral Valve Prolapse I: Introduction01:27

Mitral Valve Prolapse I: Introduction

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IntroductionThe mitral valve, one of the heart's four valves, regulates blood flow. These valves have flaps that open and close to direct blood properly through the heart and body. During each heartbeat, the flaps open for blood to pass through and seal shut to prevent backflow. Specifically, the mitral valve opens to allow blood flow from the heart's upper left chamber to the lower left chamber. It then closes securely as the lower left chamber contracts to pump blood to the body, preventing...
879
Mitral Stenosis I: Introduction01:22

Mitral Stenosis I: Introduction

1.2K
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...
1.2K
Mitral Regurgitation I: Introduction01:20

Mitral Regurgitation I: Introduction

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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...
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Double loop technique for Percutaneous Transvenous Mitral Commissurotomy.

Rajesh Vijayvergiya1

  • 1Professor - Department of Cardiology, Advanced Cardiac Centre, Post Graduate Institute of Medical Education & Research, Chandigarh, India.

Indian Heart Journal
|March 21, 2016
PubMed
Summary

Percutaneous transvenous mitral commissurotomy (PTMC) can be challenging. A novel double loop technique successfully facilitated balloon crossing in a difficult mitral stenosis case, improving procedural success.

Keywords:
Double loop techniqueInoue balloonMitral stenosisPercutaneous Transvenous Mitral Commissurotomy

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Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Cardiac Procedures

Background:

  • Percutaneous Transvenous Mitral Commissurotomy (PTMC) is a primary intervention for severe mitral stenosis.
  • Technical challenges, including large left atrium or difficult trans-septal puncture, can impede balloon crossing and increase PTMC failure rates.

Observation:

  • A specific case presented significant difficulties in crossing the PTMC balloon across the mitral valve.
  • These challenges were attributed to anatomical factors potentially related to left atrial size or trans-septal puncture characteristics.

Findings:

  • A modified technique, termed the 'double loop technique,' was successfully employed to navigate the PTMC balloon across the mitral valve.
  • This innovative approach enabled the successful completion of the commissurotomy procedure.

Implications:

  • The double loop technique offers a potential solution for challenging PTMC cases, potentially reducing failure rates.
  • This method may expand the applicability of PTMC in patients with complex anatomies, improving treatment outcomes for mitral stenosis.