Table of Contents

Section 1: Introduction
1. Prelude
2. Rheumatic Heart Disease; an Epidemiological Mystery
3. Anatomy of the Mitral Valve
4. Pathological Aspects of Rheumatic Mitral Stenosis
5. Pathophysiology, Natural History and Hemodynamics of Mitral Stenosis

Section 2: Evaluation Prior to Percutaneous Mitral Valvotomy (PMV)
6. Mitral Stenosis-Management
7. Clinical Assessment and Stress Testing Prior to Percutaneous Mitral Valvotomy
8. Electrocardiogram in Mitral Stenosis
9. Radiological Evaluation in Mitral Stenosis
10. Balloon Mitral Valvotomy-Role of Echocardiography
11. Subvalvular Apparatus in Rheumatic Mitral Stenosis-Methods of Assessment and Therapeutic Implications
12. Atrial Function in Mitral Stenosis-Effect of Percutaneous Mitral Valvuloplasty
Section 3: PMV-Procedure, Technical Considerations and Peri-procedural Monitoring
13. Trans-septal Puncture
14. Use of Safe-Sept Guidewire in Trans-septal Access
15. Percutaneous Mitral Valvotomy (PMV)-Procedure
16. Peri-procedural Monitoring During PMV
17. Intracardiac Echocardiography Imaging in Percutaneous Balloon Mitral Valvuloplasty

Section 4: PMV-Techniques and Gadgets
18. Comparison of Different Techniques and Devices for Percutaneous Mitral Valvuloplasty-Introduction
19. Double Balloon Technique
20. Mitral Valvotomy by Metallic Commissurotome
21. Inoue and Accura Balloons-The Single Balloon Mitral Valvotomy Catheters
22. JOMIVA Balloon
23. Other Gadgets for Percutaneous Mitral Valvotomy
24. Percutaneous Mitral Valvuloplasty; Comparative Analysis of Different Gadgets
25. Re-use and Re-sterilization of PMV Hardware
Section 5: Complications Following PMV
26. Device Related Complications During PMV
27. Complications of Trans-septal Puncture and Management
28. Neurological Complications Related to Percutaneous Mitral Valvotomy
29. Arrhythmias and its Management During PMV
30. Emergency Surgery after Percutaneous Mitral Valvotomy
31. Deflation Failure of Mitral Valvuloplasty Balloon
32. Troubleshooting of Single Balloon Catheters-Inoue and Accura Balloon
Section 6: PMV in Special Situations
33. Percutaneous Mitral Valvotomy in Pregnancy
Percutaneous Mitral Valvotomy in Juvenile Mitral Stenosis