Life-saving PTMC for critical calcific mitral stenosis in cardiogenic shock with balloon impasse.
A 32-year-old male patient, a case of critical calcific mitral stenosis (following closed mitral valvotomy in 1989) was admitted for mitral valve replacement in September 2001. In hospital, he developed cardiogenic shock, pulmonary oedema and oliguria precluding surgery. An emergency percutaneous transatrial balloon mitral commissurotomy as a life-saving procedure in a valve with unfavourable morphology and 'balloon impasse' is discussed.
Dugal
J S
JS
Military Hospital (Cardiothoracic Center), Armed Forces Medical College, Pune, India. sunilsofat21@vsnl.net
Jetley
V
V
Sabharwal
J S
JS
Sofat
S
S
Singh
Charanjit
C
D000328:Adult; D015906:Angioplasty, Balloon, Coronary; D002114:Calcinosis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D008020:Life Support Care; D008297:Male; D008946:Mitral Valve Stenosis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D012770:Shock, Cardiogenic / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*