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Percutaneous Transvenous Mitral Commissurotomy Treatment in India. Percutaneous transvenous mitral commissurotomy (PTMC), otherwise called percutaneous mitral inflatable valvotomy, has turned into a preferable procedure for patients with symptomatic severe mitral stenosis (MS) and who have appropriate mitral valve (MV) morphology on echocardiography. In PTMC, when a liquid filled balloon is extended, parallel weight is connected to the MV, resulting in separation along the plane of minimum resistance, which are the commissures.

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