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

Excretory system, what is the excretory system of a crab?

what is the excretory system of a crab?

Explain galactosemia, Galactosemia Inability  of conversion of galactos...

Galactosemia Inability  of conversion of galactose  to glucose results in the accumulation of galactose in  the  blood  -  known  as galactosemia. The biochemical defect usuall

Explain the lactose fermenters and non lactose fermenters, Explain the Lact...

Explain the Lactose Fermenters and Non lactose Fermenters 1) Lactose Fermenters - These produce acid on lactose fermentation, which results in red colouration on bacterial colo

Define higher order structure, Which kind of weak interaction can define hi...

Which kind of weak interaction can define higher order structure and in the same time DNA.

Ethylene production - responses to infection, Ethylene production - Res...

Ethylene production - Responses to Infection Ethylene is also induced in response to infection. It is also known to be produced under other stress conditions like wounding

Describe the basic working of chemoreceptors, Q. Where are the chemorecepto...

Q. Where are the chemoreceptors that detect the acidity of the trigger and blood the respiratory compensation located? The chemoreceptors that participate in the ventilation co

Define sterol regulatory element binding proteins (srebps), Define Sterol R...

Define Sterol Regulatory Element Binding Proteins (SREBPS)? These belong to a general family of transcription factors. They are synthesized as membrane embedded proteins in res

Define the process of digestion of proteins, Define the Process of Digestio...

Define the Process of Digestion of Proteins? The daily protein intake (of about 50-100 g) and the protein of enzymes, sloughed (bled or drop off) epithelial cells and mucins, w

Explain about podophyllum, Q. Explain about Podophyllum? These species ...

Q. Explain about Podophyllum? These species were long used by indigenous people in Americea and Asia, including for the treatment of skin cancers and warts. The combination of

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