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Q. Explain Aortic Valvuloplasty?
Valvar aortic stenosis accounts for 4-6 per cent of CHD. LV Outflow Tract obstruction eventually leads to LV dysfunction and congestive heart failure.
Congenital AS, unlike PS, progresses over time. Intervention is indicated if the LVOT obstruction is severe (catheter gradient > 65mmHg), or associated symptoms like LV dysfunction, heart failure, angina, syncope or presyncope.
Indications for Balloon Aortic Valvuloplasty
1) Peak systolic pressure gradient at rest of > 65mmHg.
2) Peak systolic pressure gradient at rest of 50-64mmHg with symptoms
3) Low cardiac output regardless of the gradient.
Q. Anatomic Factors in Patient Selection for Mitral Valvuloplasty ? The ideal patient is young, has pliable non calcified mitral leaflets, and mild subvalvular disease. TEE may
Q. Explain procedure of Aortic Valvuloplasty? BAV is usually performed by the retrograde transarterial approach. Often another catheter is placed in the LV through transseptal
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