ISSN 1016-5169 | E-ISSN 1308-4488
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Transarterial Retrograde Mitral Balloon Valvotomy [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 1992; 20(2): 100-103

Transarterial Retrograde Mitral Balloon Valvotomy

Gülşah TAYYARECİ1, Ahmet NARİN1, Fikret MAÇİN1, Aydın ÇAĞIL1, Mustafa DİKEN1, Coşkun PINAR1, Sami ÜNAL1, Op.Remzi TOSUN1

Since studies on mitral balloon valvotomy without septostomy have been rare, we are reporting our experience on 6 patients with valvotomy which was performed utilizing the way of left atrial catheterization. The mean mitral valve area was increased from 1.1 cm2 to 1.64 cm. The pressure gradient across the mitral valve was decreased from 9.3 mmHg to 3.3 mmHg. Minimal mitral insufficiency occurred in · one patient but in two cases there was ( +++) and ( ++++) mitral insufficiency because of rupture of the chordae. Valve replacement had to be performed in both cases, one immediately postoperatively and one later on. It is concluded that although the risks of septostomy is eliminated and the procedure shortened, transarterial retrograde valvotomy has a high possibility of causing severe mitral insufficiency by damaging the subvalvular apparatus and that this method should not constitute an alternative for the classical transseptal method.


How to cite this article
Gülşah TAYYARECİ, Ahmet NARİN, Fikret MAÇİN, Aydın ÇAĞIL, Mustafa DİKEN, Coşkun PINAR, Sami ÜNAL, Op.Remzi TOSUN. Transarterial Retrograde Mitral Balloon Valvotomy. Turk Kardiyol Dern Ars. 1992; 20(2): 100-103
Manuscript Language: Turkish


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