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CASE REPORT
Year : 2018  |  Volume : 1  |  Issue : 2  |  Page : 151-154

Percutaneous transvenous mitral commissurotomy and coronary intervention in kyphoscoliosis


1 Department of Cardiology, Madras Medical College, Chennai, Tamil Nadu, India
2 , India

Correspondence Address:
Dr. Ganesan Gnanavelu
Department of Cardiology, Madras Medical College, Chennai, Tamil Nadu 600003
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/IHJI.IHJI_9_18

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Rheumatic mitral stenosis is the most common lesion among valvular heart disease in Asian countries. Coexistence of coronary artery disease and rheumatic heart disease is not uncommon. Case summary of a middle-aged woman with kyphoscoliosis, significant left circumflex artery stenosis, and severe mitral stenosis who was managed successfully with percutaneous transvenous mitral commissurotomy followed by percutaneous coronary intervention in the same sitting is presented. The major challenge was interatrial septal puncture in distorted anatomy, which was overcome by meticulous defining of septal plane by angiography and proper technique of puncture. The controversy about the timing of administration of loading dose of antiplatelet and heparin is discussed.


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