title: Concurrent balloon dilatation of tricuspid and calcific mitral valve in a patient of rheumatic heart disease.
abstract: Concurrent percutaneous balloon dilatation of the mitral and tricuspid valve was performed in a 21-year-old female with severe rheumatic calcific mitral stenosis and severe tricuspid stenosis. The mean gradient across the mitral valve decreased from 30 mm Hg to an immediate post-dilatation level of 14 mm Hg and the mitral valve area increased from 0.71 cm2/m2 to 1.2 cm2/m2. The mean gradient across the tricuspid valve decreased from 11.5 mm Hg to 5 mm Hg. Hemodynamic improvement was maintained at a repeat study performed eight days later. Palliative balloon dilatation of two valves, concurrently performed, thus saved the patient from an open heart procedure and a possible valve replacement.
authors.affiliation: Department of Cardiology, All India Institute of Medical Sciences, New Delhi.
authors.forename: S
authors.initials: S
authors.lastname: Shrivastava
authors.forename: S
authors.initials: S
authors.lastname: Radhakrishnan
authors.forename: V
authors.initials: V
authors.lastname: Dev
mesh_terms: D000328:Adult; D002114:Calcinosis / Q000209:etiology; D002404:Catheterization; D005260:Female; D006801:Humans; D008946:Mitral Valve Stenosis / Q000209:etiology / Q000628:therapy*; D012214:Rheumatic Heart Disease / Q000150:complications*; D014264:Tricuspid Valve Stenosis / Q000209:etiology / Q000628:therapy*