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Percutaneous transvenous mitral comisurotomy in India(PTMC )

The procedure used in the treatment of mitral valve stenosis is popularly called percutaneous trans-mitral comisurotomy. Mitral stenosis is a condition in which the mitral valve in the center becomes thick due to bacterial infection — beta hemolytic streptococci in young people. Valvular thickening causes a radical blockage to the blood flow that causes breathing problems, arrhythmia and clot formation resulting in stroke or paralysis.

 

Steno mitral valves can be treated with valve replacement operation or removal of stenosis via a balloon in the PTMC procedure. But, surgical valve implantation should be prevented as the disease is sought using anti-coagulants for the remainder of life, with the risk of bleeding in an accident or trauma. In addition, another risk is that cubes form in the uterus when medications are not taken frequently.

 

Therefore PTMC is valuable for open heart operation. But, surgical valve implantation should be prevented as the disease is sought using anti-coagulants for the remainder of life, with the risk of bleeding in an accident or trauma. In addition, another risk is that block build up in the valve when medications are not taken frequently. Therefore PTMC is valuable for open heart operation.

 

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The signal

 

Patients with mitral valve stenosis and demostrating symptoms

Older patients with aortic valve stenosis, but cannot perform the operation.

Some patients with pulmonic valve stenosis

 

 

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Before process

 

A total blood test, electrocardiogram, a chest X-ray are probably being done the day before the procedure.

Routine medications such as antihypertensive and anti-inflammatory should be advised to the physician and indications are needed to correct them on the day of their evaluation.

Anti-coagulants are administered in some patients on the guidance of the surgeon prior to the procedure.

Eating and drinking should not be performed after the day of the procedure.

An allergic reaction to some previous medication should be reported.

A comprehensive functional disability and echo Doppler study should be completed in patients with 24–48 hours of PTMC procedure.

 

 

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During the process

 

Inuay Balloon using only self-space is being used for the comisurotomy procedure.

The balloon's tapered diameter comes with an upper border that is chosen based on the patient's body weight.

 

This process will be carried out with all stages with balloon inflation to at least 2 mm which is much less than the diameter.

 

The diameter of the balloon is being raised and this process will be repeated when the result becomes sub-toothed.

 

When the hemodynamic parameters are optimal, the balloon tip will probably be ejected through the intra-atrial septum using a tight cannula that facilitates passage into the left atrium of the balloon.

 

Through the left atrium, the balloon will be placed in the left ventricle.

The balloon will be inflated with a tapered contrast material until the midsection of the balloon is invisible.

 

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Post process

 

Hemodynamic measurements will be repeated after the PTMC procedure.

 

An eco-Doppler analysis will be followed 24 hours post procedure that is via transethoracic or transocephal echocardiography.

 

Wilkins scores are being employed to evaluate valve morphology.

 

The patient will feel drowsiness and will have pain after the first few weeks of operation. Some brief and severe pain will appear on each side of your chest. The chest area, shoulders, and upper back may ache for a few days. An incision on the chest provides some soreness and may swell which will be improved within 4-6 weeks.

 

The patient can perform normal activities after 4 to 6 weeks of this procedure. Lifting heavy weights for 6 weeks should be avoided which will strain the chest muscles and will need to be broken very often.

 

This procedure usually repairs the mitral valve, but still eating a heart-healthy diet, smoking, and reducing anxiety is extremely important. Heart medications should be taken frequently.

 

Sometimes cardiac rehabilitation will help the patient recover faster.

 

To get an instant appointment for Percutaneous transvenous mitral comisurotomy in India, Just drop us a query on our website or Contact us on Whatsaap (+919654030724) or email us at connect@gomedii.com, regarding our services. Our team will get back to you as soon as possible.

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