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Updated: Aug 15, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Combined percutaneous balloon mitral valvotomy and coronary angioplasty with stent implantation
C Röthlisberger1, U Kaufmann, B Meier
1Department of Cardiology, University Hospital, Bern, Switzerland.
Insights
This study details a combined percutaneous coronary intervention and mitral balloon valvotomy for a patient with coronary artery disease and mitral stenosis. The procedures were successfully performed sequentially in a single session.
Area of Science:
- Interventional Cardiology
- Cardiovascular Medicine
- Medical Device Technology
Background:
- Symptomatic pliable mitral stenosis requires intervention.
- Significant coronary artery lesions necessitate revascularization.
- Combined procedures pose unique management challenges.
Abstract:
A patient with symptomatic pliable mitral stenosis and a significant lesion in the right coronary artery underwent combined interventional procedures during a single session. After an uneventful transseptal puncture that allowed full anticoagulation with heparin, a percutaneous transluminal coronary angioplasty was performed, yielding an unsatisfactory result and necessitating stent implantation. Thereafter, mitral stenosis was relieved by percutaneous balloon valvotomy. The specific problems arising from the combination of the two procedures are discussed.
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