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European Heart Journal 1990 11(12):1109-1112;
Copyright © 1990 by the European Society of Cardiology.
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© 1990 The European Society of Cardiology

Percutaneous double balloon tricuspid valvotomy for severe tricuspid stenosis: 3-year follow-up study

P. A. RIBEIRO, M. AL ZAIBAG and M. T. IDRIS

The Cardiac Department, Riyadh Armed Forces Hospital PO Box 7897, Riyadh 11159, Kingdom of Saudi Arabia

Received 10 April 1989; revised 26 January 1990; .

Address for correspondence: Dr Paulo A. Ribeiro, Consultant Cardiologist, Department of Cardiovascular Diseases, King Faisal Specialist Hospital, PO Box 3354, Riyadh 11211, Saudi Arabia.

Abstract

We performed percutaneous double balloon tricuspid valvotomy in four patients (36 ± 12 years of age), with severe symptomatic rheumatic tricuspid stenosis and mild mitral valve disease. Two 9F Meditech balloon catheters, 15–20 mm diameter, were positioned simultaneously across the tricuspid valve and inflated up to five atmospheres pressure achieving valvotomy. After balloon valvotomy there was symptomatic improvement, and the Doppler tricuspid valve area was increased from a mean of 1 ± 0.2 to 2.2 ± 0.2 cm2 (P > 0.001). At 3-year follow-up the symptomatic improvement persisted and the mean tricuspid valve area was maintained at 2.2 ±0.1 cm2. During the follow-up period there was no increase in degree of tricuspid regurgitation assessed by colour Doppler. We conclude that 3 years after balloon valvotomy of the tricuspid valve, the 120% increase in valve area persists, with no objective evidence of restenosis.

Key Words: Percutaneous double balloon valvotomy • tricuspid valve


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