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Stenotic Aortic and Mitral Valves Treated with Catheter Balloon Valvuloplasty in a Patient with Small Valve Anuli

CHARLES R. MCKAY, M.D.; DAVID T. KAWANISHI, M.D.; SATYABRATA CHATTERJEE, M.D.; CHERYL L. REID, M.D.; and SHAHBUDIN H. RAHIMTOOLA, M.B.
[+] Article and Author Information

▸Requests for reprints should be addressed to Charles R. McKay, M.D.; University of Southern California School of Medicine, Section of Cardiology, 2025 Zonal Avenue; Los Angeles, CA 90033.


Ann Intern Med. 1988;108(4):568-569. doi:10.7326/0003-4819-108-4-568
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This excerpt has been provided in the absence of an abstract.

Aortic catheter balloon valvuloplasty produces increases in aortic valve areas that are clinically effective (1-3). Mitral catheter balloon valvuloplasty, when done with the double-balloon technique (4, 5), can achieve increases in mitral valve areas similar to those obtained after open mitral commissurotomy (5, 6) and opens the mitral valve along the commissures (7). In patients with a small valve anulus, valve replacement with small prostheses may result in high residual gradients (8, 9). Catheter balloon valvuloplasty may be an alternative treatment in some patients with small valve anuli. We used aortic and mitral catheter balloon valvuloplasty done in a single

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