Sky Hospital successfully performs advanced heart valvuloplasty
Source: The Sangai Express

Imphal, November 09 2024: In yet another remarkable feat, Sky Hospital and Research Centre successfully conducted a Balloon Mitral Valvuloplasty (BMV)ona24yearsoldwoman from Ithai Laikhong, Bishnupur District.

According to a release issued by SKY Hospital, the women suffered froth Rheumatic Heart Disease (RHD) involving one of the large valves called Mitral Valve.

Because of the RHD, she was not able to sleep flat (called orthopnoea) at night, not able to walk for a few steps or do any household work due to breathlessness.

On October 26, 2024, the young woman along with her mother came to SKY Hospital, Imphal for a proper diagnosis.

A 3-D Echo Imaging performed at SKY Hospital which is more advanced than 2-D Echo Imaging showed that there was severe Mitral Stenosis but no Mitral Regurgitation.

There was no calcification of the valve.

She was therefore considered suitable for Nonoperative Balloon Mitral Valvuloplasty (BMV) .

For BMV, the patient had to undergo a special Echocardiogram called Trans-Esophageal Echocardiogram (TEE) to exclude any blood clot in the Left Atrium (LA) and Left Atrial Appendage (LAA) .

The TEE was performed for the patient on October 12, 2024 .

It showed clear LA and LAA.

Both mitral commissures were found free from any calcification.

There was no mitral regurgitation.

On October 19, 2024, BMV was performed under local anaesthesia using Inoue-type Balloon.

From the left atrium, the tip of the Balloon was directed towards the critically narrowed Mitral Valve.

After careful positioning of the Balloon across the stenosed Mitral Valve by one Consultant Cardiologist, the balloon was inflated with precision by another Consultant Cardiologist to break open the two fused commissures of the mitral valve to the optimal size.

During the Mitral Valvuloplasty, the Balloon inflation causes complete stoppage of the circulation resulting in dropping the BP to "0" (Zero) which should be immediately deflated in less than 2-3 seconds.

The success of the BMV is assessed by an Echo (TIE) on site.

In her case, the severe Mitral Stenosis was relieved as indicated by the reduction of the mean pressure gradient across the Mitral Valve from pre-Balloon inflation level of 28 mmHg to post-Balloon inflation level of 6 mmHg only.

There was no significant mitral valve regurgitation.

It was a grand success of BMV.

The patient's symptoms all disappeared within a few hours after the BMV.

Dr Shyamkishore, Chief Cardiologist of SKY Hospital carried out the inflation of the Balloon which caused transient cessation of the blood circulation inside the heart, dropping Blood Pressure to "0" (Zero) .

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