Document Detail

Percutaneous mitral commissurotomy in a case of mirror-image dextrocardia and rheumatic mitral stenosis.
MedLine Citation:
PMID:  18174629     Owner:  NLM     Status:  MEDLINE    
A 43-year-old male with mirror-image dextrocardia and severe rheumatic mitral stenosis was subjected to successful percutaneous transvenous mitral commissurotomy (PTMC). The standard Inoue technique was modified by transseptal catheterization via the left femoral vein, image inversion, delineation of the interatrial septal anatomy via levophase pulmonary angiography, septal contrast staining and pigtail catheter insertion in the noncoronary aortic sinus, interatrial septal puncture with the transseptal needle rotated to a 7 o'clock position and left ventricular entry with a reverse loop technique. There were no procedural complications. Intracardiac pressures and mitral valvular planimetry suggested a successful procedural outcome. This case illustrates that PTMC can be accomplished safely in patients with this unusual cardiac anatomy with a few modifications in the standard technique.
Narayanan Namboodiri; Sivadasan Pillai Harikrishnan; Valaparambil Ajitkumar; Jaganmohan Achuthan Tharakan
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  20     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2008-01-04     Completed Date:  2008-02-21     Revised Date:  2009-11-03    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E33-5     Citation Subset:  IM    
Cardiology Department, SCTIMST, Trivandrum, India.
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MeSH Terms
Balloon Dilatation / methods*
Dextrocardia / complications,  diagnosis*,  therapy
Echocardiography, Doppler
Follow-Up Studies
Heart Catheterization / methods
Mitral Valve Stenosis / complications,  diagnosis,  therapy*
Punctures / methods
Rheumatic Heart Disease / complications,  diagnosis*,  therapy
Risk Assessment
Severity of Illness Index
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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