title: Modified technique of Joseph balloon mitral valvuloplasty.
abstract: Joseph balloon mitral valvuloplasty is a single balloon procedure for severe symptomatic mitral stenosis. We present a case where difficulty was encountered in advancing the balloon catheter across the mitral valve by standard technique. As the left atrium was grossly dilated, every time the balloon was tracked over the 0.035" extra support wire placed in left ventricle, the wire prolapsed into left atrium. A modified method wherein the balloon was maneuvered into left ventricle with the support of 14F long introducer sheath is presented. This step is useful to complete balloon mitral valvuloplasty successfully in subset of patients with giant left atrium.
authors.affiliation: Department of Cardiology, PSG Institute of Medical Sciences and Research, Peelamedu, Coimbatore 641004, India. drparun1976@gmail.com
authors.forename: Arunkumar
authors.initials: A
authors.lastname: Panneerselvam
authors.forename: Ramasamy
authors.initials: R
authors.lastname: Palanimuthu
mesh_terms: D000328:Adult; D063126:Balloon Valvuloplasty / Q000379:methods*; D006328:Cardiac Catheterization; D004452:Echocardiography; D005260:Female; D006325:Heart Atria; D006801:Humans; D008946:Mitral Valve Stenosis / Q000628:therapy*