Unusual Findings and Outcomes of Balloon Mitral Valvotomy
Published: December 1, 2022 | DOI: https://doi.org/10.7860/JCDR/2022/59418.17376
Ravindranath K Shankarappa, Yeriswamy M Channabasappa, Abdul Rehaman, Arun B Shivashankarappa, Raghavendra Murthy
1. Professor, Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.
2. Associate Professor, Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.
3. Assistant Professor, Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.
4. Assistant Professor, Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.
5. Associate Professor, Department of CTVS, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.
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.
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