Combined Percutaneous Aortic and Mitral Balloon Valvuloplasty in a Patient with Severe Rheumatic Aortic and Mitral Valve Stenoses: a Case Report

A 26-YEAR-OLD symptomatic female patient with severe aortic and mitral valve stenoses underwent aortic and mitral valve balloon valvuloplasty in the same setting. Aortic balloon valvuloplasty was first performed retrogradely using a polyethylene 20-mm balloon (Mansfield, USA), and mitral valvuloplasty was performed antegradely through transseptal technique using an Inoue 28-mm balloon (Toray, Japan). After dilation the mean aortic valve gradient decreased from 34 to 19 mm Hg. The gradient across the mitral valve decreased from 20 to 4 mm Hg. The aortic valve area increased from 0.5 to 0.9 cm2 and the mitral from 0.5 to 1.3 cm2.