Severe mitral stenosis is associated to congestive symptoms, increased pulmonary artery pressure, atrial fibrillation, and thromboembolic events. Among the treatment options, balloon mitral valve repair is the first choice in patients with favorable anatomy. We report a case of mitral valve repair using balloon in a patient with severe mitral stenosis and suprasystemic pulmonary hypertension (systolic pressure of pulmonary artery estimated at 135mmHg). Valve surgery was contraindicated due to functional class III (NYHA), after hospitalization for ischemic stroke.
Percutaneous mitral valve repair in patient with severe mitral valve stenosis and suprasystemic pulmonary hypertension
Cypriano,Paulo Eduardo and Arakaki,Rafaela Yumi Otake and Rodrigues,Alexandre and Filho,Fábio Villaça Guimarães and Andrade,Pedro Beraldo de and Bienert,Igor Ribeiro de Castro. Percutaneous mitral valve repair in patient with severe mitral valve stenosis and suprasystemic pulmonary hypertension. J Transcat Intervent [online]. 2019, vol.27, [cited 2026-03-06], Available from: <https://jotci.org/article/percutaneous-mitral-valve-repair-in-patient-with-severe-mitral-valve-stenosis-and-suprasystemic-pulmonary-hypertension/>. ISSN . http://doi.org/10.31160/JOTCI2019;27A0001.
Cypriano,Paulo Eduardo; Arakaki,Rafaela Yumi Otake; Rodrigues,Alexandre; Filho,Fábio Villaça Guimarães; Andrade,Pedro Beraldo de; Bienert,Igor Ribeiro de Castro. Percutaneous mitral valve repair in patient with severe mitral valve stenosis and suprasystemic pulmonary hypertension. J Transcat Intervent, v.27, Jan. 2019. Available from: <https://jotci.org/article/percutaneous-mitral-valve-repair-in-patient-with-severe-mitral-valve-stenosis-and-suprasystemic-pulmonary-hypertension/>. acess on 06 Mar. 2026. http://doi.org/10.31160/JOTCI2019;27A0001.
Cypriano,Paulo Eduardo, & Arakaki,Rafaela Yumi Otake, & Rodrigues,Alexandre, & Filho,Fábio Villaça Guimarães, & Andrade,Pedro Beraldo de, & Bienert,Igor Ribeiro de Castro. (2019). Percutaneous mitral valve repair in patient with severe mitral valve stenosis and suprasystemic pulmonary hypertension. J Transcat Intervent, 27, http://doi.org/10.31160/JOTCI2019;27A0001.
CyprianoPaulo Eduardo, ArakakiRafaela Yumi Otake, RodriguesAlexandre, FilhoFábio Villaça Guimarães, AndradePedro Beraldo de, BienertIgor Ribeiro de Castro. Percutaneous mitral valve repair in patient with severe mitral valve stenosis and suprasystemic pulmonary hypertension. J Transcat Intervent [Internet]. 2019 Jan [cited 2026 Mar 06]; 27: Available from: https://jotci.org/article/percutaneous-mitral-valve-repair-in-patient-with-severe-mitral-valve-stenosis-and-suprasystemic-pulmonary-hypertension/. http://doi.org/10.31160/JOTCI2019;27A0001.
