Case Presentation: A 92-yearold woman presented with progressive heart failure in the setting of known aortic valve stenosis. Despite aggressive medical therapy, she remained in New York Heart Association functional class IV. She lived in an assisted-care facility and wanted to engage in more vigorous daily activities. She did not wish to undergo surgical aortic valve replacement. An echocardio...

lutembacher syndrome refers to the rare combination of a congenital atrial septal defect and acquired mitral stenosis. traditionally, lutembacher syndrome has been corrected by surgical treatment. we describe two patients treated percutaneouly with a combined inoue balloon valvuloplasty and septal defect closure using the amplatzer septal occlusion device.

OBJECTIVE To assess the effectiveness and safety of paediatric interventional cardiac catheterization during the development of the service. SETTING Sub-regional Paediatric Cardiothoracic Centre. PATIENTS AND METHODS All paediatric admissions for cardiac catheterisation between January, 1985 and December, 1992. Data were collected on all patients in whom interventional cardiac catheterisati...

BACKGROUND Percutaneous aortic valve implantation by an antegrade transvenous approach has been described but is problematic. Retrograde prosthetic aortic valve implantation via the femoral artery has potential advantages. Percutaneous prosthetic aortic valve implantation via the femoral arterial approach is described and the initial experience reported. METHODS AND RESULTS The valve prosthes...

Results We were successful in deploying a 26 mm Edwards Sapien XT through trans-aortic approach after two failed attempt due to rupture of the balloon during valvuloplasty. The patient also had an off pump coronary artery bypass grafting to the right coronary artery. The patient was discharged home after a week. Discussion/Conclusion TAVR balloon rupture is an uncommon complication; it could re...

Transcatheter aortic valve replacement (TAVR) has become the preferred therapy for treatment of severe aortic stenosis in patients at intermediate to high risk of perioperative mortality following surgical aortic valve replacement. Haemodynamic assessment is an integral part of the procedure, and it is crucial for the operator to have an in-depth understanding of the haemodynamic alterations th...

BaIlon mitral valvuloplasty and closed mitral valve conunissurotomy were performed in 450 and 127 patients, respectively. Also, 254 patients with severe mitral stenosis were enrolled in a prospective randomized trial comparing the two procedures. Immediately after balloon mitral valvuloplasty, mean left atrial pressure was 11.38±3.54 mmHg, transmitral valve gradient was 1.8±2 mmHg, and mit...