Balloon Pulmonary Valvotomy in a neonate with critical Pulmonary valve stenosis- double coronary wire technique

Bisht Dinesh, Mahajan Viresh,Tyagi Himanshu

Abstract: We present a, 1 day 2.3kg neonate, with critical neonatal valvular pulmonary stenosis. Although most cardiologists would have done BPV in neonatal critical Pulmonary stenosis, yet we had great difficulty in crossing the catheter over the pulmonary valve as expected. We took a BMW 0.04 coronary wire to cross the pulmonary valve. After crossing the wire, the 4 French multipurpose was not crossing the pulmonary valve. Then we took another 0.04 BMW coronary wire which streched the valve and we could negotiate the 4 F MPA1 through the previously crossed wire. Thus serially dilated the valve with 4mmx2cm coronary balloon followed by mini Tyshaq II 5mmx2cm baloon.

Aim: The aim of the research paper is to introduce another efficient technique of Balloon Pulmonary Valvotomy in a neonate with critical Pulmonary valve stenosis by using double coronary wire technique to cross and dilate the tight pulmonary valve.

Keywords: Balloon Pulmonary Valvotomy, critical Pulmonary valve stenosis, technique.

Title: Balloon Pulmonary Valvotomy in a neonate with critical Pulmonary valve stenosis- double coronary wire technique

Author: Bisht Dinesh, Mahajan Viresh,Tyagi Himanshu

International Journal of Healthcare Sciences

ISSN 2348-5728 (Online)

Research Publish Journals

Vol. 6, Issue 2, October 2018 – March 2019

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Balloon Pulmonary Valvotomy in a neonate with critical Pulmonary valve stenosis- double coronary wire technique by Bisht Dinesh, Mahajan Viresh,Tyagi Himanshu