Already have an account? Get multiple benefits of using own account!
Login in your account..!
Remember me
Don't have an account? Create your account in less than a minutes,
Forgot password? how can I recover my password now!
Enter right registered email to receive password!
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.
Sir/Madam, I am a Banquet Farm Owner and face the problem with the Grass that in November & December the grass does not grow well or disappear beacuse of heavy foot fall. Is their
meaning of the law of inertia
Medical Nutrition Therapy Medical Nutrition Therapy (MNT) is defined as the assessment of the nutritional status of a client followed by nutrition therapy ranging Pon
CT is a 3 year old female who develops signs of hypoglycemia in the early morning unless she is fed during the night. CT eats balanced meals for her age group during the day, with
Illustrate the name of surgical needle The surgical needle is comprised of 3 parts: the needle point, the needle body, and the swaged (press-fit) end. Needle may be broadl
Embrylogical Devlopment of Hypospadias The development of the penis and scrotum is intluenced by the testes. In the absence of the testes, the female structures of the
How the needles are classified by thier point geometry Needles may also be classified by their point geometry; examples include: - taper (needle body is round and tapers smo
Define Single Beam and Double Beam Optical Path? In simpler instruments, a single beam of light passes through the cuvettes and reaches the detector whereas in the double beam
Q. What are the Keys for Identifying plants and animals? Keys are determined as devices to help in identifying plants and animals. These are merely an aid to identification bas
How dynamic biological processes represented as network? Many dynamic biological processes throughout a wide range of ecological scales are easily represented as dynamical netw
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!
whatsapp: +91-977-207-8620
Phone: +91-977-207-8620
Email: [email protected]
All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd