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

Chlorine (cl) - micronutrients, Chlorine (Cl) - Micronutrients The rol...

Chlorine (Cl) - Micronutrients The role of Cl - in plant is not clearly understood. Cl - is required in Hill reaction, the water splitting reaction of photosystem II. In the

What is the utility of fungi for some industries, What is the utility of fu...

What is the utility of fungi for some industries? Fungi are industrially used in the production of fermented beverage, cheese, bread etc. Some fungi are very significant for th

Why cerebellum more developed in mammals that fly or jump, Q. Why is the ce...

Q. Why is the cerebellum more developed in mammals that fly or jump? The cerebellum is the main brain structure that coordinates the movement and the equilibrium of the body. F

In which layer of skin are follicles usually found, 1. In which layer of sk...

1. In which layer of skin are follicles usually found? 2. How are sebaceous glands associated with hair follicles? 3. In which layer of skin are sweat glands usually located?

What is the destination of the branchial clefts in humans, Q. What is the d...

Q. What is the destination of the branchial clefts in humans? In humans the branchial clefts located in the anterior region of the pharynx also known as pharyngeal clefts are p

Explain haemophilus influenzae, Haemophilus influenzae type b (Hib) Hi...

Haemophilus influenzae type b (Hib) Hib is endemic worldwide. Previously unvaccinated infants

Describe the classification of arthropoda, Describe the Classification of A...

Describe the Classification of Arthropoda? Most arthropods also go through a growth process called metamorphosis, whereby they change their bodies into an entirely different fo

Types of ecosystem, Ecosystems are so varied in form and structure that wha...

Ecosystems are so varied in form and structure that whatever has a distinct community of its own, can be called an ecosystem eg. A crop field, grass land, barks etc. all the ecosys

What is the meaning of schizogony, What is the meaning of Schizogony? A...

What is the meaning of Schizogony? A form of asexual reproduction found in some protozoans. An already multinucleated cell undergoes cell division which results in each daughte

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