title: Snare-assisted anterograde balloon mitral and aortic valvotomy using Inoue balloon catheter.
abstract: We performed concurrent antegrade mitral and aortic valvotomy using Inoue dilatation catheter in 3 cases of combined rheumatic mitral and aortic stenosis. Following mitral valvotomy by standard procedure, aortic valve was crossed with the help of a floatation catheter. Stiff long length guide wire was fixed in descending aorta using a snare. Inoue catheter was threaded over the wire across the aortic valve and aortic valvotomy completed. Mitral valve area increased from mean 1 cm2 to 2 cm2; aortic gradient dropped from mean of 97 mm to 36 mm. Concurrent anterograde balloon mitral and aortic valvotomy may be effective and safe.
authors.forename: Mangalath N
authors.initials: MN
authors.lastname: Krishnan
authors.forename: M D
authors.initials: MD
authors.lastname: Syamkumar
authors.forename: C G
authors.initials: CG
authors.lastname: Sajeev
authors.forename: K
authors.initials: K
authors.lastname: Venugopal
authors.forename: Francis
authors.initials: F
authors.lastname: Johnson
authors.forename: D
authors.initials: D
authors.lastname: Vinaykumar
authors.forename: C C
authors.initials: CC
authors.lastname: Velayudhan
authors.forename: T G
authors.initials: TG
authors.lastname: Jayakumar
mesh_terms: D000328:Adult; D001024:Aortic Valve Stenosis / Q000628:therapy*; D002404:Catheterization / Q000295:instrumentation*; D004867:Equipment Design; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008946:Mitral Valve Stenosis / Q000628:therapy*