Key result
Sequential balloon mitral and tricuspid valvuloplasty using a single Sym balloon successfully reduced mitral and tricuspid gradients and improved symptoms in a patient with severe rheumatic stenosis.
Why the study?
Does sequential balloon mitral and tricuspid valvuloplasty using a single Sym balloon improve hemodynamics and symptoms in a patient with severe rheumatic mitral and tricuspid stenosis?
Case Report (n=1)
Does sequential balloon mitral and tricuspid valvuloplasty using a single Sym balloon improve hemodynamics and symptoms in a patient with severe rheumatic mitral and tricuspid stenosis?
Concomitant balloon mitral and tricuspid valvuloplasty using a single Sym balloon is a feasible and effective approach for treating severe rheumatic mitral and tricuspid stenosis.
Should not yet change practice in rheumatic multivalve stenosis; leaves open feasibility of single-balloon sequential valvuloplasty.
A 31-year-old male with severe rheumatic mitral and tricuspid stenosis presented with NYHA class III dyspnea and pedal edema. Echocardiography confirmed severe mitral (MVA: 0.7 cm 2 , MVG: 8.5 mmHg) and tricuspid stenosis (TVG: 5 mmHg). He underwent sequential balloon mitral and tricuspid valvuloplasty using a single Sym balloon following which the MVG reduced to 5.5 mmHg, MVA increased to 1.3 cm 2 , and TVG reduced to 3.5 mmHg. The patient had significant symptomatic improvement and remained clinically stable at one-month follow-up. This case discusses the considerations for planning, feasibility and efficacy of concurrent balloon valvuloplasty in appropriately selected patients.
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Sardar et al. (2025) conducted a case report in Severe rheumatic mitral and tricuspid stenosis (n=1). Sequential balloon mitral and tricuspid valvuloplasty using a single Sym balloon was evaluated on Hemodynamic and symptomatic improvement. Sequential balloon mitral and tricuspid valvuloplasty using a single Sym balloon successfully reduced mitral and tricuspid gradients and improved symptoms in a patient with severe rheumatic stenosis.
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