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Specifics of technique in percutaneous mitral commissurotomy in a case of dextrocardia and situs inversus with mitral stenosis

✍ Scribed by Nallet, Olivier ;Iung, Bernard ;Cormier, Bertrand ;Porte, Jean-Marc ;Garbarz, Eric ;Michel, Pierre-Louis ;Vahanian, Alec

Publisher: John Wiley and Sons
Year: 1996
Tongue: English
Weight: 469 KB
Volume: 39
Category: Article
ISSN: 0098-6569
DOI: 10.1002/(sici)1097-0304(199609)39:1<85::aid-ccd19>3.0.co;2-n

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✦ Synopsis

Percutaneous mitral commissurotomy (PMC) was successfully performed in a 48-yearold woman with dextrocardia and situs inversus and a severe mitral stenosis. After PMC, the valve area increased from 0.97 to 1.89 cm', and no complication occurred. This case shows that PMC is practicable In a case of dextrocardia with situs inversus. The procedure appears to be safer and easier when carried out with the lnoue balloon, image inversion on the screen, and under transesophageal echocardiographic monitoring.

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