Stenotic Aortic and Mitral Valves Treated with Catheter Balloon Valvuloplasty in a Patient with Small Valve Anuli

Brief Reports1 April 1988Stenotic Aortic and Mitral Valves Treated with Catheter Balloon Valvuloplasty in a Patient with Small Valve AnuliCHARLES R. MCKAY, M.D., DAVID T. KAWANISHI, M.D., SATYABRATA CHATTERJEE, M.D., CHERYL L. REID, M.D., SHAHBUDIN H. RAHIMTOOLA, M.B.CHARLES R. MCKAY, M.D., DAVID T. KAWANISHI, M.D., SATYABRATA CHATTERJEE, M.D., CHERYL L. REID, M.D., SHAHBUDIN H. RAHIMTOOLA, M.B.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-108-4-568 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAortic catheter balloon valvuloplasty produces increases in aortic valve areas that are clinically effective (1-3). Mitral catheter balloon valvuloplasty, when done with the double-balloon technique (4, 5), can achieve increases in mitral valve areas similar to those obtained after open mitral commissurotomy (5, 6) and opens the mitral valve along the commissures (7). In patients with a small valve anulus, valve replacement with small prostheses may result in high residual gradients (8, 9). Catheter balloon valvuloplasty may be an alternative treatment in some patients with small valve anuli. We used aortic and mitral catheter balloon valvuloplasty done in a single...References1. RAHIMTOOLA S. Catheter balloon valvuloplasty in adults with aortic and mitral stenosis: 1987. Circulation. 1987;75:895-901. CrossrefMedlineGoogle Scholar2. CRIBIERSAVINBERLAND ATJ. Percutaneous transluminal balloon valvuloplasty of adult aortic stenosis: report of 92 cases. J Am Coll Cardiol. 1987;9:381-6. CrossrefMedlineGoogle Scholar3. MCKAYSAFIANLOCK RRJ. Assessment of left ventricular and aortic valve function after aortic balloon valvuloplasty in adult patients with critical aortic stenosis. Circulation. 1987;75:192-203. CrossrefMedlineGoogle Scholar4. AL ZAIBAGRIBEIROAL KASABAL FAGIH MPSM. Percutaneous double-balloon mitral valvotomy for rheumatic mitral-valve stenosis. Lancet. 1986;1:757-61. CrossrefMedlineGoogle Scholar5. MCKAYKAWANISHIRAHIMTOOLA CDS. Catheter balloon valvuloplasty of the mitral valve in adults using a double-balloon technique: early hemodynamic results. JAMA. 1987;257:1753-61. CrossrefMedlineGoogle Scholar6. FEIGENBAUMLINBACKNASSER HRW. Hemodynamic studies before and after instrumented mitral commissurotomy: a reappraisal of the pathophysiology of mitral stenosis and the efficacy of mitral valvotomy. Circulation. 1968;38:261-76. CrossrefMedlineGoogle Scholar7. REIDMCKAYCHANDRARATNAKAWANISHIRAHIMTOOLA CCPDS. Mechanisms of increase in mitral valve area and influence of anatomic features in double-balloon, catheter balloon valvuloplasty in adults with rheumatic mitral stenosis: a Doppler and two-dimensional echocardiographic study. Circulation. 1987;76:628-36. CrossrefMedlineGoogle Scholar8. RASHTIANSTEVENSONALLEN MDD. Flow characteristics of four commonly used mechanical heart valves. Am J Cardiol. 1986;58:743-52. CrossrefMedlineGoogle Scholar9. JONESCRAVERMORRIS EJD. Hemodynamic and clinical evaluation of the Hancock xenograft bioprosthesis for aortic valve replacement (with emphasis on management of the small aortic root). J Thorac Cardiovasc Surg. 1978;75:300-8. CrossrefMedlineGoogle Scholar10. RAHIMTOOLA S. Valvular heart disease: a perspective. J Am Coll Cardiol. 1983;1:199-215. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByConcurrent aortic and mitral balloon valvuloplasty by the retrograde non-transseptal techniqueMulticenter experience with balloon mitral commissurotomy. NHLBI Balloon Valvuloplasty Registry Report on immediate and 30-day follow-up results. The National Heart, Lung, and Blood Institute Balloon Valvuloplasty Registry Participants.Follow-up recatheterization after balloon aortic valvuloplastyBalloon dilatation of the stenosed aortic valve: How does it work? Why does it fail?Perspective on valvular heart disease: An updateMultivalve percutaneous balloon valvuloplasty 1 April 1988Volume 108, Issue 4Page: 568-569KeywordsAortic valveCathetersPatientsValve replacement Issue Published: 1 April 1988 PDF DownloadLoading ...