Unusual Findings and Outcomes of Balloon Mitral Valvotomy
OR05-OR08
Correspondence
Dr. Arun B Shivashankarappa,
Shree Mallikarjuna, #K41, Upkar Meadows Layout, Kyalasanahalli, Jigani Anekal Taluk, Bengaluru, Karnataka, India.
E-mail: arunbsmedicine@gmail.com
Balloon mitral valvotomy is a common procedure done for rheumatic mitral stenosis. However, certain cases may pose challenges and rarely may be life-threatening. Here, three unusual cases of balloon mitral valvotomy are presented. Case 1, a 42-year-old male, had procedural challenge in terms of Interatrial Septal (IAS) fibrotic thickening and calcification, posing difficulty in trans-septal puncture and crossing IAS with valvotomy balloon. Case 2, a 38-year-old female, had bidirectional Ventricular Tachycardia (VT) with a single dose of intravenous digoxin, and stress cardiomyopathy. Case 3, a 49-year-old male, had difficulty in negotiating valvotomy balloon towards apex and in the process, there was left ventricular free wall perforation.