title: Percutaneous transvenous mitral commissurotomy (PTMC) and percutaneous coronary intervention (PCI) successfully applied in one patient in same sitting.
abstract: Sixty years old male with severe rheumatic mitral stenosis (MS), presented with dyspnoea New York Heart Association (NHYA) class III to IV. Coronary angiogram revealed severe occlusive coronary artery disease in left anterior coronary artery (LAD). Percutaneous Transvenous Mitral Commissurotomy (PTMC) and Percutaneous Coronary Intervention (PCI) of Left Anterior Descurery (LAD) were done in same sitting. Both procedures were successful and ended without complication. After, half an hour while shifting to coronary care unit (CCU) patient developed cardiac tamponade, which was managed successfully. Patient was followed up for three month, he is doing well and recent echocardiogram showed mild mitral stenosis with normal left ventricular function. This case demonstrates the feasibility of the combined appliance on interventional techniques in selected patients as an alternative to cardiac surgery.
authors.affiliation: Department of Cardiology, Chandka Medical College, Larkana, Sindh, Karachi.
authors.forename: Jawaid Akbar
authors.initials: JA
authors.lastname: Sial
authors.forename: Muhammad Tariq
authors.initials: MT
authors.lastname: Farman
authors.forename: Tahir
authors.initials: T
authors.lastname: Saghir
authors.forename: Khan Shah
authors.initials: KS
authors.lastname: Zaman
mesh_terms: D000792:Angiography; D000800:Angioplasty, Balloon; D006348:Cardiac Surgical Procedures; D002404:Catheterization; D004452:Echocardiography; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D008946:Mitral Valve Stenosis / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D012214:Rheumatic Heart Disease / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome