Cor Vasa 2000, 41(6):286-289
Combined intervention on the mitral valve and coronary arteries
- Kardiologie Na Bulovce, s. r. o., Praha, Česká republika
Aim of study:
To document - using 4 brief case reports - the efficacy of a combined procedure of percutaneous balloon mitral valvuloplasty (PBMV) and percutaneous transluminal coronary angioplasty (PTCA).
Method:
In the period between March 1990 and August 1999, we performed a combined PBMV and PTCA procedure in 4 patients with symptomatic severe mitral stenosis and asymptomatic (1 patient had myocardial infarction /MI/, but no angina pectoris after MI) coronary artery disease.
All 4 patients were indicated for PBMV on the basis of the commonly accepted clinical and echocardiographic criteria. The indication for PTCA was always anatomical and resulted from coronary angiography. The Inoue method was used for PBMV whereas PTCA was performed using standard technique. A coronary stent was implanted in 3 cases.
Results:
All 4 procedures were carried out with no complications and with a marked effect on the mitral valve and the target lesion on coronary arteries.
Conclusion:
We consider this, not very common combined procedure, a relatively safe, effective and financially attractive alternative to the combined surgical procedure.
Keywords: PBMV; PTCA; Mitral stenosis; Coronary artery disease
Published: June 1, 2000 Show citation