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  • Title: Snare-assisted anterograde balloon mitral and aortic valvotomy using Inoue balloon catheter.
    Author: Krishnan MN, Syamkumar MD, Sajeev CG, Venugopal K, Johnson F, Vinaykumar D, Velayudhan CC, Jayakumar TG.
    Journal: Int J Cardiol; 2007 Jan 02; 114(1):e9-11. PubMed ID: 17049634.
    Abstract:
    We performed concurrent antegrade mitral and aortic valvotomy using Inoue dilatation catheter in 3 cases of combined rheumatic mitral and aortic stenosis. Following mitral valvotomy by standard procedure, aortic valve was crossed with the help of a floatation catheter. Stiff long length guide wire was fixed in descending aorta using a snare. Inoue catheter was threaded over the wire across the aortic valve and aortic valvotomy completed. Mitral valve area increased from mean 1 cm2 to 2 cm2; aortic gradient dropped from mean of 97 mm to 36 mm. Concurrent anterograde balloon mitral and aortic valvotomy may be effective and safe.
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