Krishnan Mangalath N, Syamkumar M D, Sajeev C G, Venugopal K, Johnson Francis, Vinaykumar D, Velayudhan C C, Jayakumar T G
Int J Cardiol. 2007 Jan 2;114(1):e9-11. doi: 10.1016/j.ijcard.2006.07.075. Epub 2006 Oct 17.
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.
我们使用Inoue扩张导管对3例风湿性二尖瓣和主动脉瓣联合狭窄患者同时进行了顺行性二尖瓣和主动脉瓣切开术。按照标准程序进行二尖瓣切开术后，借助漂浮导管穿过主动脉瓣。使用圈套器将硬的长导丝固定在降主动脉内。将Inoue导管沿导丝穿过主动脉瓣并完成主动脉瓣切开术。二尖瓣面积从平均1平方厘米增加到2平方厘米；主动脉压差从平均97毫米降至36毫米。同时进行顺行性球囊二尖瓣和主动脉瓣切开术可能是有效且安全的。
