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You are here: Contents > 2017 > Volume 26 Number 2 March 2017 > CASE REPORTS > Percutaneous Mitral Balloon Valvuloplasty in a Pregnant Patient Under Guidance of Three-Dimensional Transesophageal Echocardiography and Right Atrial Mapping, without Using Fluoroscopy

Percutaneous Mitral Balloon Valvuloplasty in a Pregnant Patient Under Guidance of Three-Dimensional Transesophageal Echocardiography and Right Atrial Mapping, without Using Fluoroscopy

Begum Uygur1,2, Hamdi Pusuroglu1, Aydin Yildirim1

1Cardiology Department, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
2Electronic correspondence: uygurbegum@gmail.com

Mitral stenosis is the most common valvular pathology complicating pregnancy. Herein are reported the details of a 26-week pregnant patient with severe mitral stenosis and NYHA class 3-4 symptoms. Percutaneous mitral balloon valvuloplasty was performed under guidance of three-dimensional transesophageal echocardiography and right atrial mapping, without using fluoroscopy.


Video 1: Two-dimensional transesophageal echocardiography. The four-chamber view shows limited opening of the rheumatic mitral valve.

Video 2: Two-dimensional transesophageal echocardiography while the balloon is inflated.

Video 3: Live/real time three-dimensional transesophageal echocardiography showing the uninflated balloon passing through the mitral valve.

Video 4: Live/real time three-dimensional transesophageal echocardiography showing the inflated balloon passing through the mitral valve.

The Journal of Heart Valve Disease 2017;26:237-239


Percutaneous Mitral Balloon Valvuloplasty in a Pregnant Patient Under Guidance of Three-Dimensional Transesophageal Echocardiography and Right Atrial Mapping, without Using Fluoroscopy

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