Snare-assisted anterograde balloon mitral and aortic valvotomy using Inoue balloon catheter.
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.
Krishnan
Mangalath N
MN
Syamkumar
M D
MD
Sajeev
C G
CG
Venugopal
K
K
Johnson
Francis
F
Vinaykumar
D
D
Velayudhan
C C
CC
Jayakumar
T G
TG
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*