Percutaneous Balloon Mitral Valvotomy and Percutaneous Coronary Intervention of Left Anterior Descending Artery in Combined Procedure
Akshat Jain *
Department of Cardiology, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, India.
Gurkirat Singh
Department of Cardiology, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, India.
Aditya Gupta
Department of Cardiology, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, India.
Vishal Patil
Department of Cardiology, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, India.
Narendra Omprakash Bansal
Department of Cardiology, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, India.
*Author to whom correspondence should be addressed.
Abstract
In countries like India rheumatic heart disease (RHD) is still a common problem, and with improvements in diagnosis and treatment, the lifespan of these patients is increased. With increase in the lifespan, these patients may develop coronary artery disease (CAD) and present as acute coronary syndrome (ACS). In some cases especially RHD with severe mitral stenosis (MS), thrombus that develop in left atrium may embolize in one of the coronary arteries, leading to acute coronary syndrome. We report a case of 51 year old female who was a known case of rheumatic heart disease and now presented with acute coronary syndrome. Patient was hemodynamically unstable and underwent percutaneous balloon mitral valvotomy (PBMV) and percutaneous coronary intervention (PCI) simultaneously. We here discuss the possible complications that need to be addressed in such scenario and how can we approach such cases. This is first of such intervention at our institute and also there are very few such records available online. Patient tolerated the procedure well with significant clinical improvement.
Keywords: Percutaneous balloon mitral valvotomy, percutaneous coronary intervention, severe mitral stenosis, left anterior descending artery stenosis, rheumatic heart disease.