title: Percutaneous mitral valvuloplasty with the Inoue technique in a patient with heavily calcified interatrial septum.
abstract: A 75-year-old woman with severe rheumatic mitral stenosis was admitted for percutaneous mitral valvuloplasty. Two-dimensional echocardiography disclosed severe calcification of the posterolateral left atrial wall and interatrial septum. Percutaneous mitral valvuloplasty, using the inoue technique, was successfully performed after a transseptal puncture through the calcified interatrial septum, avoiding the need for surgical intervention.
authors.affiliation: Cardiopulmonary Department, Hospital Universitario San Carlos, Madrid, Spain.
authors.forename: F
authors.initials: F
authors.lastname: Alfonso
authors.forename: R
authors.initials: R
authors.lastname: Hernandez
authors.forename: C
authors.initials: C
authors.lastname: Bañuelos
authors.forename: J
authors.initials: J
authors.lastname: Zamorano
authors.forename: J
authors.initials: J
authors.lastname: Goicolea
authors.forename: J
authors.initials: J
authors.lastname: Segovia
authors.forename: A
authors.initials: A
authors.lastname: Fernandez-Ortiz
authors.forename: C
authors.initials: C
authors.lastname: Macaya
mesh_terms: D000368:Aged; D002114:Calcinosis / Q000150:complications* / Q000000981:diagnostic imaging; D002404:Catheterization / Q000379:methods*; D017548:Echocardiography, Transesophageal; D005260:Female; D006325:Heart Atria; D006331:Heart Diseases / Q000150:complications / Q000000981:diagnostic imaging; D006346:Heart Septum / Q000000981:diagnostic imaging; D006801:Humans; D008946:Mitral Valve Stenosis / Q000150:complications* / Q000628:therapy*