Importance of Complex BMV in Public Health: Safe Passage: Carotid Protection During BMV in Rheumatic Mitral Stenosis with Left Atrial Appendage Clot

Abstract

Rupendra Nath Saha and Bhanu Duggal

Emergency BMV is a high-risk procedure often done in critically sick patients with rheumatic Mitral stenosis. It is often a life- saving procedure, especially in a middle and low-income country like ours. Unfortunately, the practice is dying out partly due to rheumatic heart disease being mainly a disease of lower socio- economic strata and partly due to the non-availability of essential equipment like Inoue balloon. Still, a few public hospitals regularly do such complicated balloon mitral valvotomies, and we are presenting such a case.

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