Anterior Mitral Leaflet Tear during Balloon Mitral Valvotomy in a Case of Juvenile Mitral Restenosis
Rohit Rai
*
Department of Cardiology, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, India.
Gajanan D. Gawande
Department of Cardiology, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, India.
Shakil S. Shaikh
Department of Cardiology, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, India.
Narender O. Bansal
Department of Cardiology, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, India.
*Author to whom correspondence should be addressed.
Abstract
Recurrent attacks of rheumatic fever can lead to mitral stenosis. In a country like India mitral stenosis can develop in the first decade of life. Our patient presented with recurrent mitral stenosis at twelve years of age. He had undergone balloon mitral valvotomy at the age of seven. However this time he developed anterior mitral valve leaflet tear after balloon mitral valvotomy and had to be taken for mitral valve repair. Due to severe fibrosis of mitral valve the patient underwent mitral valve replacement. He was started on warfarin and dose titrated according to PT / INR. Patient was discharged but has to be on lifelong anticoagulation from the age of twelve.
Keywords: Anterior mitral leaflet tear, juvenile mitral stenosis, mitral valve replacement, rheumatic heart disease