title: Necessity is the Mother of Invention.
abstract: A well executed transseptal puncture is crucial for successful percutaneous transvenous mitral balloon valvotomy. We report a case of accidentally damaged Mullins sheath dilator. Due to immediate unavailability of another dilator at cardiac catheterization laboratory, angioplasty guidewire and balloon was used as an additional assisting armamentarium for successful percutaneous transvenous mitral balloon valvotomy.
authors.affiliation: Assistant Professor, Department of Cardiology, Mahatma Gandhi Cardiac and Critical Care Center , Jaipur, Rajasthan, India .
authors.forename: Ramanand Prasad
authors.initials: RP
authors.lastname: Sinha
authors.affiliation: Medical Writer, Department of Clinical Trials, Sahajanand Medical Technologies Pvt. Ltd. , Surat, Gujarat, India .
authors.forename: Shivani Rakesh
authors.initials: SR
authors.lastname: Kothari
authors.affiliation: Senior Manager, Department of Clinical Trials, Sahajanand Medical Technologies Pvt. Ltd. , Surat, Gujarat, India .
authors.forename: Ashok Suryakant
authors.initials: AS
authors.lastname: Thakkar
keywords: Balloon mitral valvotomy; Mullins dilator; Transseptal puncture