title: String-plucking as a mechanism of chordal rupture during balloon mitral valvuloplasty using inoue balloon catheter.
abstract: Percutaneous transvenous mitral commissurotomy using the Inoue technique was performed in a 59-year-old female with mitral stenosis and a severely calcified mitral leaflets. Although not entrapped in the subvalvular apparatus, the balloon catheter was deviated away from the mitral orifice-apex axis of the left ventricle during the inflation of the proximal balloon, which plucked and severed the chordae tendineae of the posterior mitral leaflet and resulted in severe mitral regurgitation.
authors.affiliation: Department of Medicine, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan.
authors.forename: M S
authors.initials: MS
authors.lastname: Chern
authors.forename: H J
authors.initials: HJ
authors.lastname: Chang
authors.forename: F C
authors.initials: FC
authors.lastname: Lin
authors.forename: D
authors.initials: D
authors.lastname: Wu
mesh_terms: D002114:Calcinosis / Q000150:complications; D002404:Catheterization / Q000009:adverse effects*; D002815:Chordae Tendineae / Q000293:injuries*; D015150:Echocardiography, Doppler; D005260:Female; D006801:Humans; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology; D008946:Mitral Valve Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D012214:Rheumatic Heart Disease / Q000628:therapy; D012421:Rupture