The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Interventions for structural heart disease

Complete section of anterior mitral valve during percutaneous valvuloplasty

EuroIntervention 2015;11:e1-e2 published online e-article December 2015. DOI: 10.4244/EIJV11I8A194

1. Cardiology Department, Hospital Universitario de la Princesa, Madrid, Spain; 2. Cardiac Surgery Department, Hospital Universitario de la Princesa, Madrid. Spain
A 35-year-old female was referred for mitral percutaneous valvuloplasty due to a symptomatic rheumatic lesion (severe stenosis with 15 mmHg mean gradient, mild to moderate regurgitation and a Wilkins score of 6).

The basal haemodynamic layout recorded a 23 mmHg mean gradient and a 55 mmHg “v” wave, even if on angiography the regurgitation was quantified as moderate. What drew our attention was an image in the diaphragmatic left ventricular side, originating in the valvular plane, suggesting a severe shortening and chordal fusion (Figure 1A).

A 26 mm Inoue-Balloon Catheter (Toray, Tokyo, Japan) was employed. The post-valvuloplasty angiogram showed massive mitral regurgitation.

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