Successful percutaneous balloon mitral valvuloplasty using left ventricular pressure as a guide to cross the mitral valve - A case report

Percutaneous balloon mitral valvuloplasty (PBMV) provides an effective alte rnative to surgery in a selective group of patients with symptomatic mitral stenosis. The Inoue balloon technique involves transseptal catheterization followed by catheter manipulation to cross the mitral valve. The authors d escribe a case of successful percutaneous balloon mitral valvuloplasty in a patient with severe mitral stenosis and pulmonary hypertension. Left ventr icular systolic pressure was used as a guide to locate and to advance the b alloon catheter across the mitral valve. This technique to cross the mitral valve has not been reported in the literature.