open access

Ahead of print
Case Reports
Published online: 2019-03-27
Get Citation

Percutaneous balloon mitral valvuloplasty (BMV) in severe mitral stenosis with giant, aneurysmal left atrium (LA) using modified hairpin loop entry — challenges and technical considerations

Santosh Kumar Sinha, Mahmadula Razi, Puneet Aggarwal, Nishant Kumar Abhishek, Ramesh Thakur
DOI: 10.5603/FC.a2019.0023

open access

Ahead of print
Case Reports
Published online: 2019-03-27

Abstract

Percutaneous balloon mitral valvuloplasty (BMV)using an Accura balloon is an effective procedure for the management of patients with rheumatic mitral stenosis.The inability to cross the mitral valve is one of the prime reasons for procedural failure. Here, we describe the case of a 24 year-old male with severe mitral stenosis with agiant, aneurysmal left atrium (left atrium12.3 × 10.4 cm) where the traditionally described technique of mitral valve entry failed. BMV was successfully performed by a U-shape modification of hairpin loop entry (the modified hairpin entry method), expanding the mitral valve area from 0.8 cm2to 1.9 cm2.

Abstract

Percutaneous balloon mitral valvuloplasty (BMV)using an Accura balloon is an effective procedure for the management of patients with rheumatic mitral stenosis.The inability to cross the mitral valve is one of the prime reasons for procedural failure. Here, we describe the case of a 24 year-old male with severe mitral stenosis with agiant, aneurysmal left atrium (left atrium12.3 × 10.4 cm) where the traditionally described technique of mitral valve entry failed. BMV was successfully performed by a U-shape modification of hairpin loop entry (the modified hairpin entry method), expanding the mitral valve area from 0.8 cm2to 1.9 cm2.

Get Citation

Keywords

aneurysmal left atrium; hairpin loop entry; mitral stenosis; percutaneous balloon mitral valvuloplasty

About this article
Title

Percutaneous balloon mitral valvuloplasty (BMV) in severe mitral stenosis with giant, aneurysmal left atrium (LA) using modified hairpin loop entry — challenges and technical considerations

Journal

Folia Cardiologica

Issue

Ahead of print

Published online

2019-03-27

DOI

10.5603/FC.a2019.0023

Keywords

aneurysmal left atrium
hairpin loop entry
mitral stenosis
percutaneous balloon mitral valvuloplasty

Authors

Santosh Kumar Sinha
Mahmadula Razi
Puneet Aggarwal
Nishant Kumar Abhishek
Ramesh Thakur

References (6)
  1. Fawzy ME. Percutaneous mitral balloon valvotomy. Catheter Cardiovasc Interv. 2007; 69(2): 313–321.
  2. Bahl VK, Chandra S, Talwar KK, et al. Percutaneous transvenous mitral commissurotomy in 390 cases using the Inoue balloon catheter. Int J Cardiol. 1994; 46(3): 223–227.
  3. Dani SI, Patel TM, Chag MC, et al. Difficult mitral valvuloplasty: an "over the wire" modification of Inoue technique. J Invasive Cardiol. 1995; 7(5): 148–151.
  4. Manjunath CN, Srinivasa KH, Patil CB, et al. Balloon mitral valvuloplasty: our experience with a modified technique of crossing the mitral valve in difficult cases. Cathet Cardiovasc Diagn. 1998; 44(1): 23–26.
  5. Mehan VK, Meier B. Impossibility to cross a stenotic mitral valve with the Inoue balloon: success with a modified technique. Indian Heart J. 1994; 46(1): 51–52.
  6. Nanjappa V, Sadanand KS, Santhosh K, et al. Case series: Difficult PTMC using novel technique of veno-arterial looping. Indian Heart J. 2017; 69(2): 207–210.

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

 

Wydawcą serwisu jest  "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl