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Percutaneous Mitral Balloon Valvuloplasty in a Pregnant Patient Under Guidance of Three-Dimensional Transesophageal

Begum Uygur1, Hamdi Pusuroglu2, Aydin Yildirim2

  • 1Cardiology Department, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey. Electronic correspondence: uygurbegum@gmail.com.

The Journal of Heart Valve Disease
|August 19, 2017
PubMed

Mitral stenosis is the most common valvular pathology complicating pregnancy. Herein are reported the details of a 26-week pregnant patient with severe mitral stenosis and NYHA class 3-4 symptoms. Percutaneous mitral balloon valvuloplasty was performed under guidance of three-dimensional transesophageal echocardiography and right atrial mapping, without using fluoroscopy. Video 1: Two-dimensional transesophageal echocardiography. The four-chamber view shows limited opening of the rheumatic mitral valve. Video 2: Two-dimensional transesophageal echocardiography while the balloon is inflated. Video 3: Live/real time three-dimensional transesophageal echocardiography showing the uninflated balloon passing through the mitral valve. Video 4: Live/real time three-dimensional transesophageal echocardiography showing the inflated balloon passing through the mitral valve.

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