Deflation failure of Accura Balloon In Left Atrium During Balloon Mitral Valvuloplasty

Currently Percutaneous Balloon Mitral Valvuloplasty has established itself as a standard treatment for patients with severe mitral stenosis. A patient with severe mitral stenosis was posted for the above procedure. After dilatation of mitral valvular apparatus the Accura balloon failed to deflate on repeated aspirations, probably due to rupture of internal lumen. Finally, a guide wire was passed through the injection port which recanalized the lumen and dye was slowly aspirated after diluting with saline. INTRODUCTION Almost all mitral stenosis (MS) is rheumatic in etiology. 1 PBMV using the Accura or Inoue balloon catheter is now an established mode of therapy for suitable cases of mitral stenosis with a success rate of more than 90% in various studies. Balloon valvuloplasty occasionally is associated with complications, including death in 0 to 1%, moderate or severe valvular regurgitation in 2 to 3%, and systemic embolization in 1 to 3%. We hereby report an unusual complication of deflation failure of Accura balloon (Vascular Concepts Limited, China) after dilatation of the mitral valve inside the left atrium.