A Novel “Over the Wire” Technique for a Case of Difficult Percutaneous Transvenousmitral CommissurotomyCorrespondence Address :
Flat 103, Block A, Type 5, Doctors Residence, Jagat Narain Road, Chowk, Lucknow-226003, Uttar Pradesh, India.
Percutaneous Transvenous Mitral Commissurotomy (PTMC) is the preferred treatment for isolated rheumatic valvular mitral stenosis if the valve has suitable anatomy. Following transseptal puncture, entry into left ventricle is the crucial step. This may be difficult in patients with large left atrium and very severe mitral stenosis. We are reporting a case of 23-year-old female suffering from mitral stenosis in which the mitral valve could not be crossed with standard technique, so a novel “over the wire technique” was used to cross the mitral valve and successful valvotomy was performed without any complication.
Accura Balloon, Balloon commisurotomy, Judkin’s Right Catheter, Mitral Stenosis
Akshyaya Pradhan, Pravessh Vishwakarma, Monika Bhandari, Rishi Sethi, Varun Shankar Narain. A NOVEL “OVER THE WIRE” TECHNIQUE
FOR A CASE OF DIFFICULT PERCUTANEOUS
TRANSVENOUSMITRAL COMMISSUROTOMY. Journal of Clinical and Diagnostic Research [serial online] 2018 October [cited: 2019 Jan 24 ]; 12:OD01-OD02. Available from
Date of Submission: Apr 29, 2018
Date of Peer Review: Jun 13, 2018
Date of Acceptance: Jun 18, 2018
Date of Publishing: Oct 01, 2018
FINANCIAL OR OTHER COMPETING INTERESTS: None.
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