Balloon mitral valvulotomy as a bridge to valve replacement

J. P. Iguidbashian, D. M. Follette, L. S. Nguyen, H. A. Berkoff, Saul Schaefer

Research output: Contribution to journalArticlepeer-review

Abstract

Balloon mitral valvulotomy is used in treating mitral stenosis. We stabilized a near-moribund patient who had combined aortic and mitral valve stenoses with this technique on an emergency basis. Following valvulotomy, mitral valve area increased from 1.1 to 2.2 cm2, pulmonary capillary wedge pressure decreased from 31 to 21 mmHg, and cardiac index increased from 1.9 to 2.8 L/min/m2. When the patient's condition improved, we replaced the aortic and mitral valves with St. Jude Medical bileaflet prostheses. Balloon mitral valvulotomy has not been previously described as a 'bridge' to operation. The patient in this report was at extremely high risk with cardiopulmonary and hepatorenal failure, and is the first where valvulotomy was used as temporary rather than definitive management. It should be considered only in cases without calcified, fibrotic valves and where the operative risk is considered prohibitive.

Original languageEnglish (US)
Pages (from-to)155-157
Number of pages3
JournalJournal of Heart Valve Disease
Volume3
Issue number2
StatePublished - 1994

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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