PERCUTANEOUS TRANSVENOUS BALLOON COMISSUROTOMY OF RHEUMATIC MITRAL VALVE STENOSIS IN PATIENT WITH HISTORY OF PREVIOUS AORTIC VALVE REPLACEMENT: A CASE REPORT
Mirjamol Zufarov
DSc, Professor, Head of Department of Endovascular Surgery and Cardiac Arrhythmias, DM at SI "Republican Specialized Scientific-Practical Medical Center of Surgery named after Academician V.Vakhidov", Tashkent, Uzbekistan. Email: m_zufarov@mail.ru
ORCID: 0000000348223193
Vadim Im
PhD, junior research scientist at the Department of Endovascular Surgery and Cardiac Arrhythmias, DM at SI "Republican Specialized Scientific-Practical Medical Center of Surgery named after Academician V.Vakhidov", Tashkent, Uzbekistan. Email: dr.vadim.im@gmail.com
ORCID: 0000000333978956
Sanjar Khamdamov
MD, junior research scientist at the Department of Functional Diagnostics, DM at SI "Republican Specialized Scientific-Practical Medical Center of Surgery named after Academician V.Vakhidov", Tashkent, Uzbekistan. Email: author.uzb@mail.ru
Nemat Kutimov
MD, junior research scientist at the Department of Intervention Cardiology, DM at Nukus branch of SI "Republican Specialized Scientific-Practical Medical Center of Surgery named after Academician V.Vakhidov", Nukus, Karakalpakistan. Email: author.uzb@mail.ru
Abstract
Redo heart surgery in patients with valvular pathology is associated with a higher rate of complications and mortality than the primary operation. An intervention cardiology procedure is a way to reduce the rate of complications. Percutaneous Transvenous mitral commissurotomy (PTMC) is considered an effective treatment for rheumatic mitral stenosis (MS). A patient with a history of previous aortic valve replacement was referred to our department for severe MS therapy. The patient underwent successful PTMC and showed stable results during follow-up. The patient showed improved functional capacity from dyspnea New York Heart Association (NYHA) 3 to 1. This case shows that PTMC of MS in patients with a history of previous open-heart surgery is feasible and appears to be an alternative for redo surgical therapy.
Keywords:
Case report, Rheumatic mitral stenosis, Aortic valve replacement, Redo cardiac procedure, Reentry sternotomy, Percutaneous Transvenous mitral comissurotomy (PTMC), Valvuloplasty.Full Text:
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