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Successful Percutaneous Balloon Mitral Valvuloplasty Using Left Ventricular Pressure as a Guide to Cross the Mitral Valve

A Case Report

Luther T. Clark

Arshad M. Safi, MD

SUNY HSC at Brooklyn 450 Clarkson Avenue, Box-1199 Brooklyn, NY 11203

Percutaneous balloon mitral valvuloplasty (PBMV) provides an effective alternative to surgery in a selective group of patients with symptomatic mitral stenosis. The Inoue balloon technique involves transseptal catheterization followed by catheter manipulation to cross the mitral valve. The authors describe a case of successful percutaneous balloon mitral valvuloplasty in a patient with severe mitral stenosis and pulmonary hyperten sion. Left ventricular systolic pressure was used as a guide to locate and to advance the balloon catheter across the mitral valve. This technique to cross the mitral valve has not been reported in the literature.

Angiology, Vol. 51, No. 1, 83-86 (2000)
DOI: 10.1177/000331970005100113


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