Mitral valvuloplasty: Difference between revisions
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{{Mitral stenosis}} | {{Mitral stenosis}} | ||
{{CMG}} | {{CMG}} | ||
==Overview== | |||
Mitral valvuloplasty uses a small balloon to dilate the valve and correct the defect. | |||
==Valvuloplasty== | ==Valvuloplasty== | ||
Mitral [[valvuloplasty]] is a minimally invasive therapeutic procedure to correct an uncomplicated mitral stenosis by dilating the valve using a balloon. | Mitral [[valvuloplasty]] is a minimally invasive therapeutic procedure to correct an uncomplicated mitral stenosis by dilating the valve using a balloon. | ||
Under local [[anaesthetic]], a catheter with a special balloon is passed from the right [[femoral vein]], up the [[inferior vena cava]] and into the [[right atrium]]. The [[interatrial septum]] is punctured and the [[catheter]] passed into the [[left atrium]] using a "trans-septal technique". The balloon is sub-divided into 3 segments and is dilated in 3 stages. 1st the [[distal]] portion (lying in the left ventricle) is inflated and pulled against the valve cusps. Second the proximal portion is dilated, in order to fix the centre segment at the valve orifice. Finally the central section is inflated. This should take no longer than 30 seconds since full inflation obstructs the valve and causes congestion, leading to [[circulatory arrest]] and flash [[pulmonary | Under local [[anaesthetic]], a catheter with a special balloon is passed from the right [[femoral vein]], up the [[inferior vena cava]] and into the [[right atrium]]. The [[interatrial septum]] is punctured and the [[catheter]] passed into the [[left atrium]] using a "trans-septal technique". The balloon is sub-divided into 3 segments and is dilated in 3 stages. 1st the [[distal]] portion (lying in the left ventricle) is inflated and pulled against the valve cusps. Second the proximal portion is dilated, in order to fix the centre segment at the valve orifice. Finally the central section is inflated. This should take no longer than 30 seconds since full inflation obstructs the valve and causes congestion, leading to [[circulatory arrest]] and flash [[pulmonary edema]]. | ||
==References== | ==References== |
Revision as of 21:33, 1 February 2013
Mitral Stenosis Microchapters |
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Mitral valvuloplasty On the Web |
American Roentgen Ray Society Images of Mitral valvuloplasty |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Mitral valvuloplasty uses a small balloon to dilate the valve and correct the defect.
Valvuloplasty
Mitral valvuloplasty is a minimally invasive therapeutic procedure to correct an uncomplicated mitral stenosis by dilating the valve using a balloon. Under local anaesthetic, a catheter with a special balloon is passed from the right femoral vein, up the inferior vena cava and into the right atrium. The interatrial septum is punctured and the catheter passed into the left atrium using a "trans-septal technique". The balloon is sub-divided into 3 segments and is dilated in 3 stages. 1st the distal portion (lying in the left ventricle) is inflated and pulled against the valve cusps. Second the proximal portion is dilated, in order to fix the centre segment at the valve orifice. Finally the central section is inflated. This should take no longer than 30 seconds since full inflation obstructs the valve and causes congestion, leading to circulatory arrest and flash pulmonary edema.