OBJECTIVES To investigate the effects of transvalvar flow rate on aortic valve resistance and valve area after percutaneous transvenous balloon dilatation of the mitral valve in a homogeneous group of patients with rheumatic heart disease. DESIGN Retrospective analysis of 12 patients with combined aortic and mitral stenosis who had undergone balloon dilatation of the mitral valve over a perio...

OBJECTIVE To evaluate 501 procedures of mitral balloon valvuloplasty and the differences among the group already submitted the prior surgical or balloon valvuloplasty, with 59 procedures and the group without previous intervention, with 442 procedures. METHODS It was used the single balloon in 403, Inoue balloon in 89 and a double balloon in six, with no difference between the 2 groups (p=0.6...

In their recent study, Ozdogru et al. [1] concluded that the pulse wave velocity was impaired and was improved after successful percutaneous balloon valvuloplasty in patients with mitral stenosis, which reveal that mitral stenosis is a factor related to impaired arterial stiffness. However, there is an uncertainty in interpreting the results of this study. Both structural and functional changes...

The relationship between patent foramen ovale and migraine headache is a topic surrounded by much controversy. We present the case of a 45-year-old woman who underwent successful percutaneous mitral balloon valvuloplasty for rheumatic mitral valve stenosis, but had an immediate postprocedural course complicated by refractory migraine headaches. Interestingly, resolution of her headaches coincid...

Intraprocedural imaging continues to evolve in parallel with advances in percutaneous mitral valve interventions. This didactic review uses several illustrations and rich intraprocedural videos to further describe and demonstrate the role of the most up-to-date echocardiographic and advanced imaging technologies in the patient selection and intraprocedural guidance of percutaneous mitral valve ...

OBJECTIVES We sought to compare the maternal and fetal outcomes of patients with severe mitral stenosis submitted to percutaneous balloon dilation versus open mitral valve commissurotomy (MVC) during pregnancy. BACKGROUND Heart failure in patients with mitral stenosis complicating pregnancy is a common problem in developing countries. Since 1984, percutaneous dilation of the mitral valve usin...

Mitral Valvuloplasty Using the Inoue Balloon Catheter Technique To the Editor: I read with interest the article on long-term follow-up after percutaneous mitral valvuloplasty with the Inoue balloon catheter by Hernandez et al.1 They reported a restenosis rate of 39% at 7 years. My colleagues from China and I recently reported our experience with the same technique in a follow-up study up to 11 ...

The occurrence of hemopericardium with cardiac tamponade is a complication of percutaneous balloon mitral valvuloplasty (BMV) which, although uncommon, may have severe maternal and fetal consequences. This article describes a case of cardiac tamponade following BMV in a 28-year-old woman with severe rheumatic mitral stenosis in the 20th week of gestation.

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 mitral v...