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KMID : 0368119930230030320
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Korean Circulation Journal
1993 Volume.23 No. 3 p.320 ~ p.324
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Percutaneous Balloon Mitral Valvuloplasty in Patient with mitral Stenosis and Kyphoscoliosis
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Abstract
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Percutaneous balloon mitral valvuloplasty (PMV) was comparable to surgical commissurotomy in initial and longterm follow-up results in selected patients with symtomatic severe mitral stenosis. Transseptal punture was necessary for antegrade
introduction
of balloon. In patient with kyphoscoliosis. PMV was relatively contraindicated due to difficulty and risk of septal puncture.
We performed the PMV in a patient with kyphoscoliosis and severe mitral stenosis. The patient was presented with NYHA class III. Echocardiographic evaluation revealed mitral valve area of 0.8㎠ and mean diastolic pressure gradient of 12mmHg.
X-ray
film
of TL spine showed severe kyphoscoliosis. Transseptal puncture was possible with modification of angle of Brockenbrough needle at the site of 15cm from the needle tip. After transseptal puncture. Inoue balloon was introduced into the LV and
gradual
ballooning was performed with optimal results. Hemodynamic variables were improved immediately after intervention and mitral valve area was increased from 0.7㎠ to 1.8㎠. Patient was discharged with NYHA class I.
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KEYWORD
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