Document Detail

Percutaneous transvenous mitral commissurotomy in mitral restenosis with situs inversus.
MedLine Citation:
PMID:  19208317     Owner:  NLM     Status:  MEDLINE    
A woman, aged 30 years with situs inversus, dextrocardia and severe rheumatic mitral restenosis was referred to AFIC/NIHD for commissurotomy. A Closed Mitral Valvotomy (CMV) for severe mitral stenosis had already been done 8 years earlier, and her symptoms had reappeared. She was evaluated with transthoracic and transesophageal echocardiography and found to have a mitral valve area of 0.6 cm2, dextrocardia along with atrioventricular (AV) and ventriculo-atricular (VA) concordance was demonstrated. Successful percutaneous transvenous mitral commissurotomy (PTMC) was done. Transseptal catheterization was done via the left femoral vein. Pigtail catheter was placed in the noncoronary aortic sinus; interatrial septal puncture was done with the transseptal needle rotated to a 7 O'clock position. There were no procedural complications. Reduction in trans-mitral pressure gradient on cardiac catheterization data, and standard echocardiographic parameters confirmed a successful procedure. PTMC can be accomplished safely in patients with this unusual cardiac anatomy with a few modifications in the standard technique, even if surgical treatment has already been carried out.
Sajjad Hussain; Waqar Ahmed
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the College of Physicians and Surgeons--Pakistan : JCPSP     Volume:  19     ISSN:  1022-386X     ISO Abbreviation:  J Coll Physicians Surg Pak     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-02-11     Completed Date:  2009-05-14     Revised Date:  2009-08-13    
Medline Journal Info:
Nlm Unique ID:  9606447     Medline TA:  J Coll Physicians Surg Pak     Country:  Pakistan    
Other Details:
Languages:  eng     Pagination:  117-9     Citation Subset:  IM    
Department of Cardiology, Armed Forces Institute of Cardiology, National Institute of Heart Diseases, Rawalpindi.
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MeSH Terms
Balloon Dilatation / methods
Dextrocardia / complications*,  surgery,  ultrasonography
Echocardiography / methods
Heart Catheterization / methods
Mitral Valve Stenosis / complications*,  surgery,  ultrasonography
Punctures / methods
Situs Inversus / complications*,  surgery,  ultrasonography
Treatment Outcome
Comment In:
J Coll Physicians Surg Pak. 2009 Jun;19(6):397-8   [PMID:  19486586 ]

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

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