Malviya Amit, Warjri Synrang Batngen, Mishra Animesh
Department of Cardiology, Northeastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS), Shillong, Meghalaya, India.
J Cardiol Cases. 2019 Jul 12;20(3):95-98. doi: 10.1016/j.jccase.2019.06.004. eCollection 2019 Sep.
Conventional antegrade balloon mitral valvuloplasty is not possible or better avoided in certain clinical situations. Retrograde balloon mitral valvuloplasty is a purely arterial technique designed to avoid complications of atrial septal puncture. We report a case of rheumatic heart disease with severe mitral stenosis and large atrial septal aneurysm where balloon mitral valvuloplasty was performed retrogradely with innovative use of routinely available cardiac catheter laboratory hardware instead of specialised hardware required for such cases. < Conventional antegrade balloon mitral valvuloplasty is not possible or better avoided in certain clinical situations. Retrograde balloon mitral valvuloplasty is a purely arterial technique designed to avoid complications of atrial septal puncture. The retrograde balloon mitral valvuloplasty using EBU (Extra Back-up, Medtronic Inc., Minneapolis, USA) guide catheter and Tyshak II balloon can be alternative to standard retrograde balloon mitral valvuloplasty technique whenever retrograde technique is chosen over antegrade technique.>.
在某些临床情况下，传统的顺行球囊二尖瓣成形术无法进行或最好避免。逆行球囊二尖瓣成形术是一种纯粹的动脉技术，旨在避免房间隔穿刺的并发症。我们报告一例风湿性心脏病合并严重二尖瓣狭窄和巨大房间隔瘤的病例，该病例采用常规心脏导管实验室硬件进行创新性逆行球囊二尖瓣成形术，而不是此类病例所需的专门硬件。<在某些临床情况下，传统的顺行球囊二尖瓣成形术无法进行或最好避免。逆行球囊二尖瓣成形术是一种纯粹的动脉技术，旨在避免房间隔穿刺的并发症。每当选择逆行技术而非顺行技术时，使用EBU（额外支撑，美敦力公司，美国明尼阿波利斯）引导导管和Tyshak II球囊的逆行球囊二尖瓣成形术可替代标准逆行球囊二尖瓣成形术技术。>
