Percutaneous Mitral Valvuloplasty in Rheumatic Mitral Stenosis by Isolated Transarterial Approach: A New and Feasible Technique

Percutaneous Mitral Valvuloplasty in Rheumatic Mitral Stenosis by Isolated Transarterial Approach A New and Feasible Technique

A highly symptomatic 20-year-old woman with rheumatic mitral valvular stenosis was referred for cardiac catheterization. Following the procedure it was decided to perform a mitral valvuloplasty with a balloon catheter. An isolated transarterial approach through the right femoral artery was used. A S...

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Bibliographic Details
Published in:Japanese Heart Journal Vol. 28; no. 5; pp. 791 - 798
Main Authors: BÜCHLER, Jorge R., ASSISFO, Stoessel F., BRAGA, Sérgio L.N., SOUSA, José Eduardo M.R.
Format: Journal Article
Language:English
Published: Tokyo International Heart Journal Association 1987
Japanese Heart Journal Association
Subjects:
Adult
Angioplasty, Balloon
Bacterial diseases
Balloon catheter
Biological and medical sciences
Cardiac Catheterization
Cineangiography
Female
Heart Ventricles - diagnostic imaging
Human bacterial diseases
Humans
Infectious diseases
Isolated transarterial approach
Medical sciences
Mitral stenosis
Mitral Valve Stenosis - physiopathology
Mitral Valve Stenosis - therapy
Mitral valvuloplasty
Myocardial Contraction
Rheumatic Heart Disease - physiopathology
Rheumatic Heart Disease - therapy
Staphylococcal infections, streptococcal infections, pneumococcal infections
Human
Femoral artery
Mitral valve
Cardiac valvular disease
Cuffed tube
Instrumentation therapy
Cardiovascular disease
Rheumatism
Narrowing
Instrumental dilatation
Percutaneous route
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Description
Summary:A highly symptomatic 20-year-old woman with rheumatic mitral valvular stenosis was referred for cardiac catheterization. Following the procedure it was decided to perform a mitral valvuloplasty with a balloon catheter. An isolated transarterial approach through the right femoral artery was used. A Sones catheter was introduced into the left atrium and through it a long teflon-coated guide wire was placed into this cavity. The Sones catheter was removed and an 18mm diameter balloon catheter was placed under the mitral valve and inflated several times for about 15 sec each. The pulmonary wedge and pulmonary artery pressures were significantly lower than the pre-valvuloplasty ones. The angiograms showed better mitral valve opening.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:0021-4868
1348-673X
DOI:10.1536/ihj.28.791