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

What is the significance of choanocyte, What is the significance of Choanoc...

What is the significance of Choanocyte? Unique collar-shaped cells whose flagella are responsible for generating water current in the sponge. As flagella beats, food particles

Define the recommended dietary allowance of vitamin e, Define the Recommend...

Define the Recommended Dietary Allowance of Vitamin E? The requirements for the vitamin E are expressed in terms of tocopherol equivalents (TE) as mentioned earlier - 8 mg fo

Hutchinson phyletic dieta, hi there,i would like u to help me with understa...

hi there,i would like u to help me with understanding Hutchinson phyletic dieta

When it is said that a bacteria is an obligate anaerobe, What is meant when...

What is meant when it is said that a bacteria is an obligate anaerobe? Obligate anaerobes are the living beings that do not survive in the presence of oxygen. For instance, the

Material - separation of amino acid by paper chromatography, Determine Mate...

Determine Materials for Separation of Amino Acids by Paper Chromatography? Petridishes (200 mm diameter) with lid, Whatman Chromatographic paper, brown paper, 500 ml separating

Define some example of acidic and basic buffer, Define Some Example of Acid...

Define Some Example of Acidic and Basic Buffer? Frequently used example of acidic and basic buffer includes: - Acidic buffer: a mixture of CH 3 COOH (acetic acid) + CH 3 C

What is alleles, Whenever a pair of alleles has different alleles is there ...

Whenever a pair of alleles has different alleles is there dominance between them? Not in all cases of a gene having two different alleles is the dominance complete. There are g

Endocrine, Adrenal causes of hypertension are: 1) Excess of aldosterone ...

Adrenal causes of hypertension are: 1) Excess of aldosterone production in primary aldosteronism. The diagnosis may be suspected when persistent hypokalemia is detected. Most of

Define the post-herbal period, Define the Post-Herbal Period? It is di...

Define the Post-Herbal Period? It is difficult to draw a sharp line of demarcation between the transition period, marked by various attempts of classification, all of which we

What the pentose pathway supplies, With response to synthesis of fatty acid...

With response to synthesis of fatty acids and triacylglycerol, the pentose pathway supplies: -NADPH and glycerolaldehyde 3 P -NADPH and glucose -NADPH and ribulose 5 P

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