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

How are bacteria are classified, Q. How are bacteria are classified accordi...

Q. How are bacteria are classified according to their need for oxygen? According to their need of oxygen bacteria are classified into anaerobic those that survive without oxyge

Describe steps of indications definitive surgical treatment, Describe steps...

Describe steps of Indications definitive Surgical Treatment? Indications for Definitive Surgical Treatment :  Surgery is indicated in all acute proximal dissections. Ind

Roles of fatty acid, Fatty acids have four main biological roles: 1.  Th...

Fatty acids have four main biological roles: 1.  They are used to create sphingolipids and glycerophospholipids which are necessary elements of biological membranes; 2.  Nume

Explain about the functional properties of proteins, Explain about the Func...

Explain about the Functional Properties of Proteins? It may be clear by now that functionality (as implied to food ingredients) refers to 'any property aside from the nutrition

Mating and fertilisation, Mating and Fertilisation In all animals sper...

Mating and Fertilisation In all animals sperms are motile and have to move and seek the eggs to fertilise them. For this an aqueous environment is necessary. This need of a li

Dna structure, A)Which of the following statements about DNA structure is t...

A)Which of the following statements about DNA structure is true? 1.The nucleic acid strands in a DNA molecule are oriented ant parallel to each other, meaning they run in opposite

Homo sapiens neanderthalensis (neanderthal man), Hom o sapiens neanderth...

Hom o sapiens neanderthalensis (NEANDERTHA L MAN) - Fossil discovered by C. Fuhlrott (1856) from Neander htat valley of Germany. This resembled modem man, cran

Topology and cell organ shapes, Topology and Cell Organ Shapes Topolog...

Topology and Cell Organ Shapes Topology is an abstract mathematical exercise that deals with the possible shapes and surfaces of an endlessly/infinitely elastic body. Most cel

Terminology use in apical dominance, Terminology use in Apical Dominance ...

Terminology use in Apical Dominance Here are a few terms that will be used in discussing apical dominance. A clear understanding of these terms is needed for understanding the

Hardy desert shrubs, Hardy desert shrubs - having short stem, number of br...

Hardy desert shrubs - having short stem, number of branches and thick leaves. The animals of deserts are primarily arthropods, reptiles, birds and mammals. Large animals are unc

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