Video : Transseptal mitral valvuloplasty

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Cardiology / Valvular / Mitrale / Case in the box

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Operators : Dr T. LEFEVRE . Severe Mital Valve Stenosis (1.1cm²) . INOUE Balloon for Mitral Valvuloplasty

Shooting date : 2012-12-04
Last update : 2021-06-09

11 comments

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Salakhitdinov S.
Dear Dr T. LEFEVRE.
Thank you for the wonderful presentation.
I have a question:
1. Mitral valve area after balloon valvuloplasty how much? 1.7-1.8 cm2?
2. After PTMC for mitral valve regurgitation what?
II-degree?
3. The patient had previously been operated on for mitral valve stenosis?
4. What antirheumatic therapy conduct after PTMC?

Thank you in advance for your reply.
Comments:
We have experience of more than 740 PTMC. When the mitral area of ??1.0 cm 2 or less, we are beginning to expand the balloon size of 24 mm, and at 0.5-0.6 cm2 starting 22 mm. I think you have to start with a 24 mm balloon, and gradually expand to 30-32 mm. Then you have the degree of regurgitation would be small.

With good wishes
Dr. Shukhrat Salakhitdinov.

2013-05-29, 18h50
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Shelby L.
I'm not able to see the video after I registered.

2016-09-22, 1h21
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Francis A. Good video

2016-11-07, 23h29
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demir H. Vere excellent demonstration

2016-12-04, 0h35
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demir H. Very excellent demonstration

2016-12-04, 0h35
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isa S. Ee

2016-12-20, 0h28
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Antoun Y. Nice nurse

2017-01-25, 6h32
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baskurt M. very nice presentation..thank you

2017-03-16, 4h32
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M A. A very nice presentation
I have a few comments:
Why a lateral view was not taken before the septum was unctured to ensure that the aorta was not punctured?
Immediately after valvuloplasty pressure half-time is not used for calculating mital valve area.
when exiting the left atrium , the stretcher should be used
Thanks

2017-09-29, 21h32
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BEIGH J. Good presentation

2017-11-06, 16h24
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Hazem A. excellent presentation , just want to ask how to avoid aorta puncture during puncture septum , what tips and tricks , in my fellow ship training center they were doing in cath lab biplane and checking all views , putting pig tail in aorta during puncture then measuring gradeint after balloning at same time LV and LA , ? is it safer to use TEE during septum puncture?

2020-09-06, 20h08
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