Author/Authors :
Mangalath N. Krishnan، نويسنده , , M.D. Syamkumar، نويسنده , , C.G. Sajeev، نويسنده , , K. Venugopal، نويسنده , , Francis Johnson، نويسنده , , D. Vinaykumar، نويسنده , , C.C. Velayudhan، نويسنده , , T.G. Jayakumar، نويسنده ,
Abstract :
We performed concurrent antegrade mitral and aortic valvotomy using Inoue dilatation catheter in 3 cases of combined rheumatic mitral and aortic stenosis. Following mitral valvotomy by standard procedure, aortic valve was crossed with the help of a floatation catheter. Stiff long length guide wire was fixed in descending aorta using a snare. Inoue catheter was threaded over the wire across the aortic valve and aortic valvotomy completed. Mitral valve area increased from mean 1 cm2 to 2 cm2; aortic gradient dropped from mean of 97 mm to 36 mm. Concurrent anterograde balloon mitral and aortic valvotomy may be effective and safe.
