Simplified art of balloon pulmonary valvuloplasty: Does the presence of mild supravalvular pulmonary stenosis preclude successful balloon pulmonary valvuloplasty?

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL
Debasish Das, D. Acharya, Tutan Das, Subhash R. Pramanik
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引用次数: 0

Abstract

We present a case of successful balloon pulmonary valvuloplasty (BPV) in a 37-year-old female with severe valvular pulmonary stenosis with peak gradient of 82 mmHg with history of exertional presyncope. The crux of our case was that patient also had associated mild supravalvular pulmonary stenosis which did not preclude a successful BPV outcome. The patient had rare Bombay negative blood group, and the requisite units were not available across all the blood banks in the state to subject the patient for surgical correction. Although the art of BPV is dying among budding young interventionists, this simple procedure is as good as surgical pulmonary valvotomy so far as the immediate and late outcome is concerned and the presence of mild supravalvular pulmonary stenosis does not preclude a successful outcome. Our case is a unique illustration of feasibility of successful balloon pulmonary valvuloplasty in the presence of associated mild supravalvular stenosis.
球囊肺动脉瓣成形术的简化:轻度瓣上狭窄是否妨碍球囊肺动脉瓣成形术的成功?
我们报告了一例成功的球囊肺动脉瓣成形术(BPV),患者是一名37岁的女性,患有严重的肺动脉瓣狭窄,峰值梯度为82毫米汞柱,有运动性咽峡炎病史。我们病例的关键是患者也有相关的轻度瓣上肺动脉狭窄,这并不妨碍BPV的成功结果。该患者患有罕见的孟买阴性血型,该州所有血库都没有必要的单位对患者进行手术矫正。尽管在崭露头角的年轻干预者中,BPV的艺术正在消亡,但就即时和晚期结果而言,这种简单的手术与外科肺动脉瓣切开术一样好,轻度瓣上肺动脉狭窄的存在并不妨碍成功的结果。我们的病例是一个独特的说明,在存在相关的轻度瓣上狭窄的情况下,成功的球囊肺动脉瓣成形术是可行的。
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来源期刊
Indian Journal of Medical Specialities
Indian Journal of Medical Specialities MEDICINE, GENERAL & INTERNAL-
自引率
16.70%
发文量
51
期刊介绍: The Indian Journal of Medical Specialities is an all-encompassing peer-reviewed quarterly journal. The journal publishes scholarly articles, reviews, case reports and original research papers from medical specialities specially pertaining to clinical patterns and epidemiological profile of diseases. An important highlight is the emphasis on undergraduate and postgraduate medical education including various aspects of scientific paper-writing. The journal gives priority to research originating from the developing world, including from the tropical regions of the world. The journal also publishes special issues on health topics of current interest. The Indian Journal of Medical Specialities is one of the very few quality multispeciality scientific medical journals.
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