JCCVS
Journal of Cardiology & Cardiovascular Surgery

Journal of Cardiology & Cardiovascular Surgery scientific, open-access, double-blind peer-reviewed journal covering a wide spectrum of topics in cardiology and cardiovascular surgery.

eISSN: 2980-1397
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Case Report
Wire-based percutaneous balloon mitral valvuloplasty after failed conventional valve crossing: a case report
Abstract
Percutaneous balloon mitral valvuloplasty (PBMV), an important treatment for rheumatic mitral stenosis (MS), can be technically challenging in cases with difficult anatomy. This article describes a new wire-based PBMV technique involving the advancement of an Inoue balloon over a pre-shaped rigid 0.035-inch wire. The procedure begins with a targeted transseptal puncture, followed by introduction of a steerable sheath into the left atrium and subsequent passage across the diseased mitral valve (MV), replacement with a preformed 0.035-inch stiff wire in the left ventricle, advancement and positioning of an appropriately sized Inoue balloon over the MV on the wire, and inflation of the balloon. This technique uses additional equipment such as a steerable sheath and a preformed 0.035-inch stiff wire, in addition to the standard Inoue balloon kit. This may make the technique more costly. Due to the rheumatic MS occurs less commonly, socioeconomically developed societies, the number of operators experienced in PBMV procedures is quite rare. PBMV can be performed safely and predictably on the wire using the approach described.

Keywords : Mitral ballon valvuloplasty, rheumatic heart disease, mitral stenosis

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1. Nobuyoshi M, Arita T, Shirai S, et al. Percutaneous balloon mitral valvuloplasty: a review. Circulation. 2009;119(8):e211-e219. doi:10.1161/CIRCULATIONAHA.108.792952
2. Inoue K, Owaki T, Nakamura T, Kitamura F, Miyamoto N. Clinical application of transvenous mitral commissurotomy by a new balloon catheter. J Thorac Cardiovasc Surg. 1984;87(3):394-402.
3. Manjunath CN, Srinivasa KH, Patil CB, Venkatesh HV, Bhoopal TS, Dhanalakshmi C. Balloon mitral valvuloplasty: our experience with a modified technique of crossing the mitral valve in difficult cases. Cathet Cardiovasc Diagn. 1998;44(1):23-26. doi:10.1002/(sici)1097-0304(199805)44:1<23::aid-ccd6>3.0.co;2-9
4. Trehan V, Mehta V, Mukhopadhyay S, Yusuf J, Kaul UA. Difficult percutaneous transvenous mitral commissurotomy: a new technique for left atrium to left ventricular entry. Indian Heart J. 2004;56(2):158-162.
5. Hung JS, Lau KW. Vertical approach Ñ a modified method in balloon crossing of mitral valve in Inoue balloon mitral valvuloplasty. J Invasive Cardiol. 1998;10(9):548-550.
6. Safi AM, Kwan T, Clark LT. Successful percutaneous balloon mitral valvuloplasty using left ventricular pressure as a guide to cross the mitral valve-a case report. Angiology. 2000;51(1):83-86. doi:10.1177/000331970005100113
7. Gupta T, Barrett T, Dauerman HL, Lahoud RN. Novel wire-based technique for percutaneous balloon mitral valvuloplasty. JACC Case Rep. 2025;30(3):103130. doi:10.1016/j.jaccas.2024.103130
Article available in :
Volume 4, Issue 3, 2026
Page : 69-71
https://doi.org/10.51271/JCCVS-0082
Article Information
Received : 17 Ağu 2026
Accepted : 28 Eyl 2026
Published : 30 Eyl 2026
Corresponding Author :

Mehmet Ali Gelen: Department of Cardiology, Faculty of Medicine, Fırat University, Elazığ, Turkiye

[email protected]
Citation : Gelen MA, Karasu M. Wire-based percutaneous balloon mitral valvuloplasty after failed conventional valve crossing: a case report. J Cardiol Cardiovasc Surg. 2026;4(3):69-71. doi:10.51271/JCCVS-0082

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