I read with interest the article by Hildick-Smith and Shapiro [1] on balloon mitral valvuloplasty employing double transseptal puncture. In four patients with mechanical aortic prostheses which could not be safely crossed by retrograde arterial catheterization, the authors used double transseptal pu
Balloon mitral valvuloplasty employing double transseptal puncture
โ Scribed by Hildick-Smith, David ;Shapiro, Leonard
- Publisher
- John Wiley and Sons
- Year
- 1998
- Tongue
- English
- Weight
- 137 KB
- Volume
- 45
- Category
- Article
- ISSN
- 0098-6569
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โฆ Synopsis
Patients with mechanical aortic valve prostheses occasionally develop subsequent mitral stenosis and present as candidates for further intervention. Repeat thoracotomy in such patients carries considerable operative risk, but the traditional alternative of balloon mitral valvuloplasty with transaortic intraventricular monitoring is not feasible because mechanical aortic prostheses cannot be safely crossed at catheterization. We have therefore developed a technique for performing the procedure via double transseptal puncture. We present the technique and our experience of its use in four patients with mechanical aortic prostheses presenting for balloon mitral valvuloplasty.
๐ SIMILAR VOLUMES
The feasibility of a transjugular approach to septal puncture and Inoue-balloon mitral valvuloplasty (BMV) was studied in 20 patients with severe mitral stenosis and varying degrees of anatomic atrial distortion. Left atrial entry by transjugular septal puncture was achieved without difficulty and B