title: Percutaneous mitral commissurotomy using the metallic valvulotome technique in a critically ill adult.
abstract: A 25-year-old man presented with cardiogenic shock secondary to rheumatic mitral stenosis. Despite aggressive medical treatment he continued to deteriorate. This report describes the successful use of the metallic valvulotome technique for mitral commissurotomy in the context of a critically ill patient.
authors.affiliation: Department of Cardiological Sciences, St George's Hospital, London, UK.
authors.forename: David E
authors.initials: DE
authors.lastname: Ward
authors.forename: Mark A
authors.initials: MA
authors.lastname: Tanner
mesh_terms: D000328:Adult; D002404:Catheterization / Q000295:instrumentation* / Q000379:methods; D016638:Critical Illness / Q000628:therapy; D006801:Humans; D008297:Male; D008946:Mitral Valve Stenosis / Q000150:complications / Q000628:therapy*; D012770:Shock, Cardiogenic / Q000209:etiology / Q000628:therapy*