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.

SUMMARY BACKGROUND: Percutaneous mitral balloon valvuloplasty and valve replacement have been the treatment options for stenosis several years, however, studies that compare these two modalities are very rare in literature. ObjectIve: In this article, we aim to investigate comparison of clinical results percutaneous replacement. Methods: 527 patients with rheumatic stenosis, treated or (276 251...

In this modern era of management of various cardiovascular disorders, surgical therapy has virtually always preceded the development of percutaneous techniques. This has been the case with myocardial revascularization (aortocoronary bypass surgery vs. angioplasty), procedures for mitral stenosis (surgical commissurotomy vs. balloon valvuloplasty) as well as for the management of certain congeni...

Although the prevalence of rheumatic fever is decreasing in developed countries, it still affects numerous areas in the nonindustrialized world. Untreated mitral stenosis (MS) contributes to a significant global morbidity and mortality. Echocardiography is the main diagnostic imaging modality with which to evaluate mitral valve (MV) obstruction and assess the severity and hemodynamic consequenc...

Transient ST-segment elevation occurring in the context of percutaneous cardiac interventions has not been fully characterized. We present a case of an inferior ST-segment elevation associated with angina and hypotension following percutaneous mitral valvuloplasty. Coronary angiography during ST elevation found no abnormalities and no myocardial necrosis was documented. Thus, as the Inoue ballo...

Balloon mitral valvuloplasty has, over the last 15 years, become an established interventional procedure. For patients with pliable uncalcified mitral stenosis, dilatation with the Inoue balloon is the intervention of choice, oVering results comparable to surgical commissurotomy. In the Western world, however, with the gradual extinction of rheumatic fever, patients with mitral stenosis are now...

OBJECTIVE To evaluate prior mitral surgical commissurotomy and echocardiographic score influence on the outcomes and complications of percutaneous mitral balloon valvuloplasty. METHODS We performed 459 complete mitral valvuloplasty procedures. Four hundred thirteen were primary valvuloplasty and 46 were in patients who had undergone prior surgical commissurotomy. The prior commissurotomy grou...

BACKGROUND Eight patients with severe congenital mitral stenosis underwent double transseptal, double-balloon valvuloplasty; two had isolated congenital mitral stenosis, six had additional cardiac defects, and one had previous surgical valvotomy. Ages ranged from 0.6 to 36 years (median, 9 years). METHODS AND RESULTS All procedures were tolerated well. After valvuloplasty, the left atrial a w...

Aims: The purpose of this study was to determine whether there is any association between the optimal increase in mitral valve area and mitral transvalvular gradient decrement and pulmonary arterial pressure decrement after balloon mitral valvuloplasty (BMV) in patients with mitral stenosis. Methods: The study population consisted of 49 patients (47 women, 2 men; mean age = 43.7±13.35 years) wi...

BACKGROUND Percutaneous balloon pulmonary valvuloplasty is the procedure of choice for uncomplicated severe or symptomatic pulmonary stenosis. The present study describes our experience in balloon pulmonary valvuloplasty using the Inoue balloon catheter in adolescent and adult patients. AIMS To assess the immediate and mid-term outcomes of percutaneous balloon valvuloplasty with Inoue balloon...