Modified Technique of BMV for Severe Submitral Stenosis
ABSTRACT: We present a case where difficulty was encountered during balloon mitral valvotomy (BMV) because of severe submitral stenosis. As the orifice was 0.4 cm2 at submitral level the BMV balloon catheter could not enter the left ventricle. We used a modified technique of liberating the submitral apparatus that facilitated successful BMV.
J INVASIVE CARDIOL 2011;23:387–388
Key words: balloon mitral valvotomy, technique, submitral stenosis
__________________________________
Conclusion. In severe submitral stenosis, crossing the mitral valve with a Terumo wire and releasing the submitral stenosis with peripheral angioplasty balloon facilitates entry of BMV balloon catheter and this procedure can be completed successfully.
Reference
- Manjunath CN, Srinivasa KH, Ravindranath KS, et al. Balloon mitral valvotomy in patients with mitral stenosis and left atrial thrombus. Catheter Cardiovasc Interv. 2009;1(4):653-661.
__________________________________
From the Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, India.
Disclosure: The authors have completed and returned the ICMJE Form for Disclosure of Potential Conflicts of Interest. No authors reported conflicts regarding the content herein.
Manuscript submitted April 19, 2011, provisional acceptance given May 23, 2011, final version accepted July 1, 2011.
Address for correspondence: Dr. Arunkumar Panneerselvam MD, DM, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Jaya Nagar 9th Block, BG Road, Bangalore 560069, India. Email: drparun1976@gmail.com