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  • ashok D. Excellent lecture,,very much practical issues described nicely.

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    See previous comments (7)
    • 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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                          • Majed A.

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                            • ashok D.

                               

                              excellent video for learner

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