A Case Report of Inoue Balloon Deformity Recognized during Percutaneous Mitral Valvuloplasty.
10.4070/kcj.2001.31.8.830
- Author:
Sung Hoon JUNG
1
;
Byung Ho LEE
;
Young Hee KIM
;
Seung Joon LEE
;
Rak Kyeong CHOI
;
In Jae KIM
;
Nae Hee LEE
;
Choong Won GOH
;
Dal Soo LIM
;
Hweung Kon HWANG
Author Information
1. Department of Internal Medicine, Kyung Hee University Medical School, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Inoue balloon deformity;
Percutaneous mitral valvuloplasty (PMV)
- MeSH:
Cardiac Tamponade;
Congenital Abnormalities*;
Echocardiography;
Female;
Heart Septal Defects, Atrial;
Humans;
Inflation, Economic;
Korea;
Middle Aged;
Mitral Valve;
Mitral Valve Insufficiency;
Mitral Valve Stenosis;
Rupture;
Thromboembolism
- From:Korean Circulation Journal
2001;31(8):830-833
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Since the Inoue balloon was first introduced for percutaneous mitral valvuloplasty (PMV) in 1984, this procedure has come into widespread use because of its effectiveness, simplicity, and reduced exposure to X-ray radiation. It's the procedure's complications include cardiac tamponade, atrial septal defect, thromboembolism, ventricular perforation, mitral regurgitation, and rarely balloon rupture. We report a case of Inoue balloon deformity during PMV in 62-year old woman with rheumatic mitral stenosis. Echocardiography revealed severe rheumatic mitral stenosis with a valvular area of 0.95 cm2 (by pressure half-time method), and an Echo score of 10 points. The PMV with Inoue balloon 28 mm was performed. We inflated the balloon to 28 mm in diameter first, and to 29 mm second. A bulging deformity with asymmetrical overinflation of one side of both proximal and distal balloon was recognized. A bulging deformity at the proximal part of Inoue balloon after second inflation. Balloon was not ruptured. Following completion of the procedure, the mitral valve area increased to 1.8 cm2. Moderate mitral regurgitation (grade II) was newly developed. This may be the first case of asymmetrical one side inflation and focal bulging deformity reported in Korea.
