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

Determine the uses of the gums, The use of the gums in various foods may af...

The use of the gums in various foods may affect the following functional properties: 1. Water-binding capacity 2. Rheological properties 3.  Capacity to form film or gel

What is mitosis, What is Mitosis? Mitosis is a process whereby a cell...

What is Mitosis? Mitosis is a process whereby a cell that is preparing to divide separates the duplicated pairs of chromosomes from each other so that each of the new daughte

Causes of diabetic ketoacidosis, Q. Causes of Diabetic Ketoacidosis? Th...

Q. Causes of Diabetic Ketoacidosis? The causes of Diabetic Ketoacidosis (DKA) are the following: - Missing of insulin injection - Infection - Trauma (injury) - Myoc

The trp operon, The trp (tryptophan) operon which is shown in the figure wi...

The trp (tryptophan) operon which is shown in the figure will have  five  structural  genes  encoding enzymes  for tryptophan  biosynthesis  with an upstream  Ptrp  (trp promoter)

Method of cloning dna fragments into plasmids, During our discussion of rep...

During our discussion of replication origins we took a step-by-step look at the method of cloning DNA fragments into plasmids . Based on your knowledge of this discussion which

Planning for evaluation, PLANNING FOR EVALUATION: The need for clearly...

PLANNING FOR EVALUATION: The need for clearly defined objectives for the evaluation process, analysis of  the need for it, systematic measures for accomplishing its purpose an

What is physical accommodation, What is Physical Accommodation Physical...

What is Physical Accommodation Physical Accommodation is the actual physical deformation in the lens power. It is measured in diopters, e.g., if the focussing power of the eye

Transcription and processing of trna in prokaryotes , The rRNA transcriptio...

The rRNA transcription units in E. coli hold some tRNA genes which are processed and transcribed at the time of rRNA transcription. The other tRNA genes  happen  in  clusters  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