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CASE REPORT
Percutaneous balloon pulmonary valvuloplasty (PBPV) of extreme pulmonary valve stenosis by the use of Accura balloon
  1. Santosh Kumar Sinha1,
  2. Vikas Mishra1,
  3. Mahmadula Razi2,
  4. Mukesh Jitendra Jha2
  1. 1Department of Cardiology, LPS institute of Cardiology, Kanpur, Uttar Pradesh, India
  2. 2Department of Cardiology and Cardiac Surgery, LPS Institute of Cardiology, Kanpur, Uttar Pradesh, India
  1. Correspondence to Dr Vikas Mishra, dr.vikasmishra{at}gmail.com

Summary

Transcatheter therapy of valvular pulmonary stenosis is one of first catheter interventions facilitating its application in field of structural heart disease and now treatment of choice for significant pulmonary stenosis. Myriads of balloon catheter have been used for this purpose starting from Diamond (Boston Scientific,Natick, MA USA), Marshal (Medi-Tech,Watertown MAUSA), Innoue balloon, Tyshak I and currently Tyshak II. Diameter and length of balloon depend on size of annulus and age group, respectively. Problem with shorter balloon is difficulty in keeping it across the annulus while inflation as it tends to slip distally whereas with longer balloon, potential of tricuspid leak or conduction block as it may impinge on adjacent structures. Potential advantage of Accura balloon over Tyshak balloon lies in its peculiar shape while inflation and variable diameter, making stepwise dilatation possible. Here, we report a case of successful balloon pulmonary valvuloplasty using Accura balloon (Vascular Concept, UK) with little modification of conventional technique.

  • interventional cardiology
  • valvar diseases
  • paediatric intensive care
  • congenital disorders
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Footnotes

  • Contributors SKS: conception and design, acquisition of data or analysis and interpretation of data. VM: drafting the article or revising it critically for important intellectual content. MR: agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved. MJJ: final approval of the version published.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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