Alfonso F, Hernandez R, Bañuelos C, Zamorano J, Goicolea J, Segovia J, Fernandez-Ortiz A, Macaya C
Cardiopulmonary Department, Hospital Universitario San Carlos, Madrid, Spain.
Cathet Cardiovasc Diagn. 1996 Sep;39(1):82-4. doi: 10.1002/(SICI)1097-0304(199609)39:1<82::AID-CCD18>3.0.CO;2-Q.
A 75-year-old woman with severe rheumatic mitral stenosis was admitted for percutaneous mitral valvuloplasty. Two-dimensional echocardiography disclosed severe calcification of the posterolateral left atrial wall and interatrial septum. Percutaneous mitral valvuloplasty, using the inoue technique, was successfully performed after a transseptal puncture through the calcified interatrial septum, avoiding the need for surgical intervention.