Ballon Valvuloplasty for Mitrial Restenosis after Surgical Commissurotomy

Park, Seung Jung; Kim, Sung Soon; Tahk, Seung Jea; Shim, Won Heum; Cho, Seung Yun; Lee, Woong Ku

doi:10.4070/kcj.1988.18.2.287

Korean Circ J. 1988 Jun;18(2):287-291. Korean.
Published online Jun 30, 1988.
https://doi.org/10.4070/kcj.1988.18.2.287

Case Report

Ballon Valvuloplasty for Mitrial Restenosis after Surgical Commissurotomy

Seung Jung Park, M.D., Sung Soon Kim, M.D., Seung Jea Tahk, M.D., Won Heum Shim, M.D., Seung Yun Cho, M.D. and Woong Ku Lee, M.D.

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Copyright and License

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Percutaneous mitral ballon vavuloplasty(PMV) using the double-ballon technique was performal in a 48 year old female patient with recurrent mitral stenosis 16 years after surgical open mitral commissurotomy. PMV resulted in an increase in mitral valve area by Gorlin's method from 0.9 to 2.2 cm², a decrease in mean mitral diastolic pressure gradient from 30 to 17 mmHg, and an increase in cardiac output from 4.7 to 5.5 L/min. There was no evidene of significant left to right shunt through the atrial septal punture site PMV. After PMV minimal grade 1 mitral regurgutation developed.

Mitral ballon valvuloplasty can be performed effectively and safely in selected patients with restenosis after surgical commissurotomy.