Percutaneous Mitral Valvotomy

SECTION 1:: INTRODUCTION

• Prelude
• Rheumatic Heart Disease-An Epidemiological Mystery
• Anatomy of the Mitral Valve
• Pathological Aspects of Rheumatic Mitral Stenosis
• Pathophysiology, Natural History and Hemodynamics of Mitral Stenosis

SECTION 2:: EVALUATION PRIOR TO PERCUTANEOUS MITRAL VALVOTOMY

• Mitral Stenosis- Evaluation and Medical Management
• Percutaneous Mitral Valvotomy-Indications, Contraindications and Mechanism
• Stress Testing Prior to Percutaneous Mitral Valvotomy
• Electrocardiogram in Mitral Stenosis
• Radiological Evaluation in Mitral Stenosis
• Balloon Mitral Valvotomy-Role of Echocardiography
• Three-dimensional Echocardiography in PMV:: The Latest Tool
• Subvalvular Apparatus in Rheumatic Mitral Stenosis- Methods of Assessment and Therapeutic Implications
• Atrial Function in Mitral Stenosis-Effect of Percutaneous Mitral Valvuloplasty

SECTION 3:: PMV-PROCEDURE, TECHNICAL CONSIDERATIONS AND PERIPROCEDURAL MONITORING

• Transseptal Puncture
• Use of Safe-Sept Guidewire in Transseptal Access
• Percutaneous Mitral Valvotomy-Procedure
• Periprocedural Monitoring during PMV
• Anesthetic Management during Percutaneous Mitral Valvuloplasty
• Intracardiac Echocardiography Imaging in Percutaneous Balloon Mitral Valvuloplasty

SECTION 4:: PMV-TECHNIQUES AND GADGETS

• Different Techniques and Devices for Percutaneous Mitral Valvuloplasty-Introduction
• The Single Balloon Mitral Valvotomy Catheters
• Double Balloon Technique
• Mitral Valvotomy by Metallic Commissurotome
• JOMIVA Balloon
• Other Gadgets for Percutaneous Mitral Valvotomy
• Percutaneous Mitral Valvuloplasty-Comparative Analysis of Different Gadgets
• Reuse and Resterilization of PMV Hardware

SECTION 5:: COMPLICATIONS FOLLOWING PMV

• Device-related Complications during Percutaneous Mitral Valvotomy
• Complications of Transseptal Puncture and Management
• Neurological Complications Related to Percutaneous Mitral Valvotomy
• Thromboembolic Complications during Balloon Mitral Valvotomy
• Arrhythmias and Its Management during Percutaneous Mitral Valvotomy
• Deflation Failure of Mitral Valvuloplasty Balloon
• Emergency Surgery after Percutaneous Mitral Valvotomy
• Troubleshooting of Single Balloon Catheters-Inoue and Accura Balloons

SECTION 6:: PMV IN SPECIAL SITUATIONS

• Percutaneous Mitral Valvotomy in Pregnancy
• Percutaneous Mitral Valvotomy in Juvenile Mitral Stenosis
• Transjugular Percutaneous Mitral Valvotomy
• Percutaneous Prosthetic Mitral Balloon Valvotomy
• Tackling Subvalvular Disease during Balloon Mitral Valvotomy
• Over-the-Wire Techniques during PMV
• PMV Performed with other Percutaneous Interventions
• Balloon Tricuspid Valvotomy along with PMV
• PMV in Patients with Atrial Fibrillation
• Percutaneous Mitral Valvotomy in Dextrocardia
• Balloon Mitral Valvotomy-Left Femoral Vein Approach and in Venous Anomalies
• Retrograde Nontransseptal Balloon Mitral Valvuloplasty
• Percutaneous Mitral Valvotomy in Technically Challenging Situations
• Left Atrial Appendage Occlusion and Percutaneous Mitral Valvotomy
• Percutaneous Treatment of Lutembachers Syndrome:: Balloon Mitral Valvotomy and Device Closure of Atrial Septal Defect
• Percutaneous Mitral Valvotomy in Mitral Restenosis

SECTION 7:: LONG-TERM OUTCOME FOLLOWING PMV

• Left Atrial Thrombosis in Rheumatic Mitral Stenosis
• Comparison of Percutaneous Mitral Valvotomy and Surgical Mitral Commissurotomy
• Mitral Regurgitation Following Percutaneous Mitral Valvotomy
• Atrial Septal Defects Following Percutaneous Mitral Valvotomy
• Pulmonary Hypertension in Rheumatic Mitral Stenosis- Influence of Percutaneous Mitral Valvotomy
• Long-term Follow-up of Patients Undergoing Percutaneous Mitral Valvotomy
• Setting A New PMV Program