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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.

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    • Shelby L.

      I'm not able to see the video after I registered.

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      • Francis A. Good video

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        • demir H. Vere excellent demonstration

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          • demir H. Very excellent demonstration

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            • isa S. Ee

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              • Antoun Y. Nice nurse

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                • baskurt M. very nice presentation..thank you

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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

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                    • BEIGH J. Good presentation

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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?

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