Percutaneous mitral valvuloplasty with the Inoue technique in a patient with heavily calcified interatrial septum.
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.
Alfonso
F
F
Cardiopulmonary Department, Hospital Universitario San Carlos, Madrid, Spain.
Hernandez
R
R
Bañuelos
C
C
Zamorano
J
J
Goicolea
J
J
Segovia
J
J
Fernandez-Ortiz
A
A
Macaya
C
C
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*