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  • Title: Concurrent balloon dilatation of tricuspid and calcific mitral valve in a patient of rheumatic heart disease.
    Author: Shrivastava S, Radhakrishnan S, Dev V.
    Journal: Int J Cardiol; 1988 Jul; 20(1):133-7. PubMed ID: 3403077.
    Abstract:
    Concurrent percutaneous balloon dilatation of the mitral and tricuspid valve was performed in a 21-year-old female with severe rheumatic calcific mitral stenosis and severe tricuspid stenosis. The mean gradient across the mitral valve decreased from 30 mm Hg to an immediate post-dilatation level of 14 mm Hg and the mitral valve area increased from 0.71 cm2/m2 to 1.2 cm2/m2. The mean gradient across the tricuspid valve decreased from 11.5 mm Hg to 5 mm Hg. Hemodynamic improvement was maintained at a repeat study performed eight days later. Palliative balloon dilatation of two valves, concurrently performed, thus saved the patient from an open heart procedure and a possible valve replacement.
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