title: Successful percutaneous balloon mitral valvuloplasty using left ventricular pressure as a guide to cross the mitral valve--a case report.
abstract: Percutaneous balloon mitral valvuloplasty (PBMV) provides an effective alternative to surgery in a selective group of patients with symptomatic mitral stenosis. The Inoue balloon technique involves transseptal catheterization followed by catheter manipulation to cross the mitral valve. The authors describe a case of successful percutaneous balloon mitral valvuloplasty in a patient with severe mitral stenosis and pulmonary hypertension. Left ventricular systolic pressure was used as a guide to locate and to advance the balloon catheter across the mitral valve. This technique to cross the mitral valve has not been reported in the literature.
authors.affiliation: Department of Medicine, State University of New York Health Science Center at Brooklyn, 11203, USA.
authors.forename: A M
authors.initials: AM
authors.lastname: Safi
authors.forename: T
authors.initials: T
authors.lastname: Kwan
authors.forename: L T
authors.initials: LT
authors.lastname: Clark
mesh_terms: D000328:Adult; D006328:Cardiac Catheterization / Q000295:instrumentation / Q000379:methods; D002404:Catheterization / Q000295:instrumentation / Q000379:methods; D005260:Female; D006801:Humans; D006976:Hypertension, Pulmonary / Q000628:therapy; D008943:Mitral Valve / Q000473:pathology; D008946:Mitral Valve Stenosis / Q000503:physiopathology / Q000628:therapy*; D013599:Systole; D016277:Ventricular Function, Left / Q000502:physiology*; D017725:Ventricular Pressure / Q000502:physiology*