[Percutaneous mitral and aortic valve dilatation in the same session].
Percutaneous balloon valvuloplasty is used successfully for mitral and aortic rheumatic stenosis. Its application is limited in elderly degenerative aortic stenosis because of its poor long-term results. It is thus indicated only in selected groups of patients at high surgical risk. We describe three cases affected with mitral and aortic stenosis who underwent simultaneous mitral and aortic percutaneous balloon valvuloplasty. Etiology was rheumatic in the first two cases, while it was rheumatic and degenerative in the third case. Immediately after the procedure, mitral and aortic gradients decreased, with a simultaneous increment in aortic and mitral areas and cardiac index. There were no major complications. The follow-up after seven years revealed the persistence of relatively good results in the first two cases affected with rheumatic valvulopathies. In the last case, restenosis recurred a few years after the procedure.
Servizio di Emodinamica Cardiologia Interventistica, Università degli Studi, Padova.
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Ramondo
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Barchitta
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Budano
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Lupia
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Chioin
D000328:Adult; D000368:Aged; D001021:Aortic Valve; D001022:Aortic Valve Insufficiency / Q000175:diagnosis / Q000628:therapy; D002404:Catheterization / Q000295:instrumentation / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008943:Mitral Valve; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000628:therapy; D012008:Recurrence; D012214:Rheumatic Heart Disease / Q000175:diagnosis / Q000628:therapy
Dilatazione percutanea valvolare mitralica ed aortica nella stessa seduta.