This report describes the first successful treatment of tricuspid stenosis by percutaneous double balloon valvotomy. There was a dramatic reduction of the tricuspid valve gradient, with an increase in calculated valve area, together with an increase in resting cardiac output and symptomatic relief. The feasibility of the non-surgical treatment of severe tricuspid stenosis was demonstrated unequ...

Over the years, management of critical pulmonary stenosis in young infants has evolved from surgical reconstruction of the right ventricular outflow tract and closed pulmonary valvotomy to transcatheter balloon valvoplasty. Our study aimed at evaluating how the changing policy for management had affected the immediate and long term outcomes of babies with this cardiac lesion. Interventions were...

Belcher, J. R. (1973). Thorax, 28, 608-612. Conservative approach to the treatment of mixed mitral valve disease. One hundred patients with mixed mitral valve disease have been treated with the 'stand-by' bypass principle. In 59 the valve was replaced; in 41 a closed transventricular valvotomy was done. The results in the two groups have been compared. The operative mortality for valvotomy was ...

OBJECTIVE To assess the immediate haemodynamic improvement and long term symptomatic benefit of percutaneous mitral balloon valvotomy in patients aged over 70 years. DESIGN Pre- and postprocedure haemodynamic data and follow up for 1 to 10 years by clinic visit or telephone contact. SETTING Tertiary referral centre in Scotland. SUBJECTS 80 patients age 70 and over who had mitral balloon d...

To cite: Hirapur IS, Rajendran R, Kolhari VB, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013010391 DESCRIPTION Rheumatic heart disease (RHD) is still highly prevalent in developing countries and accounts for sizeable cardiovascular morbidity. The mitral valve is the most commonly involved valve. Since its introduction by Inoue et al in 1984 as an alte...

were left ventricular aneurysms, all of which occurred after the operation of closed or 'blind' aortic valvotomy in adults, and four were right ventricular outflow tract aneurysms which developed in children after surgical procedures for the correction of severe forms of Fallot's tetralogy. Two of the left ventricular aneurysms arose at the site of the ventriculotomy usedfor introducing the Bro...

BACKGROUND Closed pulmonary valvotomy for critical pulmonary stenosis has no apparent advantage over the percutaneous balloon technique, though it is used when balloon valvuloplasty fails. Experience of this technique at the Heart Institute, Tel Hashomer, since it was first used in 1973 has been reviewed. METHODS Thirty eight infants up to 1 year old (25 of them neonates--that is, nil to 1 mo...

BACKGROUND The objective of this study was to examine early and long-term results of surgical aortic valvotomy in neonates and infants aged less than four months and to identify predictors of outcome. METHODS Between August 1994 and April 2012, 83 consecutive patients younger than 4 months of age underwent open heart valvotomy for critical aortic stenosis in our institution. Median age was 17...