F. Alfonso et al., PERCUTANEOUS MITRAL VALVULOPLASTY WITH THE INOUE TECHNIQUE IN A PATIENT WITH HEAVILY CALCIFIED INTERATRIAL SEPTUM, Catheterization and cardiovascular diagnosis, 39(1), 1996, pp. 82-84
A 75-year-old woman with severe rheumatic mitral stenosis was admitted
for percutaneous mitral valvuloplasty. Two-dimensional echocardiograp
hy disclosed severe calcification of the posterolateral left atrial wa
ll and interatrial septum. Percutaneous mitral valvuloplasty, using th
e Inoue technique, was successfully performed after a transseptal punc
ture through the calcified interatrial septum, avoiding the need for s
urgical intervention. (C) 1996 Wiley-Liss, Inc.