Can you explain balloon valvuloplasty, Biology

Assignment Help:

Q. Can you explain Balloon Valvuloplasty?

Whenever feasible valvuloplasty is the treatment modality of choice. One has to make sure that the valve is suitable and expertise to do the procedure is available. Surgical stand by is desirable. Immediate and long term results are directly related to pliability of the valve. With a pliable valve better valve area can be achieved and chance of immediate severe mitral regurgitation is less. A thorough trans thoracic echocardiography is mandatory prior to performing the procedure. Similarly in those with atrial fibrillation and in those with left atrial diameter more than 4 cm. trans esophageal examination (TEE) should be done to rule out the presence of any left atrial thrombi. TEE is also helpful in assessing the degree of associated mitral regurgitation if any. Patient with left atrial appendage clot may be given oral anticoagulants and followed closely over next few months till the clot dissolves and then go for balloon valvuloplasty. Such a strategy may
or may not be useful for left atrial clots as they may or may not dissolve with oral anti coagulants.

Higher valve scores and presence of commissural fibrosis and calcification may lead to sub optimal result and acute complications during the procedure. Mitral restenosis is a possibility after balloon valvuloplasty and the time taken for restenosis is dependent upon the initial pliability of the valve and the valve area achieved. Calcific valves tend to restenose early. Patients should continue with penicillin prophylaxis and have a periodic echocardiographic evaluation after balloon valvuloplasty. If symptoms recur repeat balloon valvuloplasty or valve replacement may be done. Complications of the procedure include local vascular complications, vasovagal episodes, cardiac perforation and tamponade, acute mitral regurgitation, embolic complication due to missed left atrial thrombi and very rarely infective endocarditis. In terms of simplicity and costs balloon valvuloplasty is superior to surgical commissurotomy and all patients should be first considered for balloon valvuloplasty.


Related Discussions:- Can you explain balloon valvuloplasty

When the plant transpiration increases, When air humidity is high does the ...

When air humidity is high does the plant transpiration increase or lower? When air humidity is high transpiration diminishes. As transpiration is a simple diffusion process it

Trinomial system, who proposed trinomial system of classification? in ALLEN...

who proposed trinomial system of classification? in ALLEN modules ans is Huxley & Stricklandt but in AAKASH its given Lamarck so what is correct?

Describe g-protein, Which of the following is true for a G-protein? A. ...

Which of the following is true for a G-protein? A. When an agonist binds to the binding site of a G-protein-coupled receptor (GPCR), this leads to GDP displacing a GTP bound to

Abdomen - hypertension, The purpose of examining the abdomen should be for ...

The purpose of examining the abdomen should be for detection of renal artery bruit and abnormal kidney masses like kidney tumours and polycystic kidneys. Aortic abdominal aneurysms

Phloem, why phloem made of living cells

why phloem made of living cells

Types of retaining structure, What are the types of evaluation of lateral e...

What are the types of evaluation of lateral earth forces acting on retaining structures? This section seeks to introduce you to the evaluation of lateral earth forces acting on

Difference between spermatid and spermatocyte ii, Q. What is the difference...

Q. What is the difference between spermatid and spermatocyte II? The spermatids (n) are the products of the second division of meiosis (meiosis II) in the male gametogenesis an

Name the source gland of leutinising hormone, Name the source gland of leut...

Name the source gland of leutinising hormone (LH). State the other hormone along with which it acts on its target cells/organ. Give their two functions.

How does water move in sponges, Q How does water move in sponges? What is t...

Q How does water move in sponges? What is the function of the pores in these animals? Sponges are filtering beings they make water enter their bodies by their lateral pores. Wa

Write Your Message!

Captcha
Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd