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.
Normal 0 false false false EN-IN X-NONE X-NONE MicrosoftInternetExplorer4
Q. What are the two groups of defense mechanisms of the body against harmful agents or foreign? What is the difference between them? The body has many defense mechanisms agains
Zinc deficiency Zinc is essential for several physiological functions in the body such as protein synthesis, carbohydrate and nucleic acid metabolism, and foetal growth. The de
Q. What is the association between inflammation and fever? In the tissue region where inflammation occurs prostaglandins, cytokines, bacterial toxins, interleukins and endothel
Skull of Pisces?
Unsaturated fatty acids Unsaturated fatty acids are liquid at room temperature and are characterized by having one or more double bonds. Fatty acids having two or more
Release of Microspores Up to the tetrad stage, there is no cellulosic wall around the microspores. As you will come to know in the next unit, a unique feature of the pollen i
Into which subphyla are the protochordates divided? What are some representatives of each protochordate subphylum? Cephalochordates and Urochordates (or tunicates) are the two
Define Changing Trends in Dietary Intake? As a practicing dietician, you must be sensitive to the society as a whole. The fat requirements have been worked out with a premise o
Define Stripping Perforation - Types of Root Perforation It is latral perforation caused by over instrumentation through a thin wall of the root. Most common on the in
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