{"title":"用单个Sym球囊合并二尖瓣和三尖瓣成形术","authors":"Souvik Sardar, Krishna Prasad Akkineni, Alaina Zameer, Sourabh Agstam, Sumit Kumar, Atit A Gawalkar","doi":"10.1016/j.crmic.2025.100069","DOIUrl":null,"url":null,"abstract":"<div><div>A 31-year-old male with severe rheumatic mitral and tricuspid stenosis presented with NYHA class III dyspnea and pedal edema. Echocardiography confirmed severe mitral (MVA: 0.7 cm<sup>2</sup>, MVG: 8.5 mmHg) and tricuspid stenosis (TVG: 5 mmHg). He underwent sequential balloon mitral and tricuspid valvuloplasty using a single Sym balloon following which the MVG reduced to 5.5 mmHg, MVA increased to 1.3 cm<sup>2</sup>, and TVG reduced to 3.5 mmHg. The patient had significant symptomatic improvement and remained clinically stable at one-month follow-up. This case discusses the considerations for planning, feasibility and efficacy of concurrent balloon valvuloplasty in appropriately selected patients.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"7 ","pages":"Article 100069"},"PeriodicalIF":0.0000,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Concomitant balloon mitral and tricuspid valvuloplasty using a single Sym balloon\",\"authors\":\"Souvik Sardar, Krishna Prasad Akkineni, Alaina Zameer, Sourabh Agstam, Sumit Kumar, Atit A Gawalkar\",\"doi\":\"10.1016/j.crmic.2025.100069\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>A 31-year-old male with severe rheumatic mitral and tricuspid stenosis presented with NYHA class III dyspnea and pedal edema. Echocardiography confirmed severe mitral (MVA: 0.7 cm<sup>2</sup>, MVG: 8.5 mmHg) and tricuspid stenosis (TVG: 5 mmHg). He underwent sequential balloon mitral and tricuspid valvuloplasty using a single Sym balloon following which the MVG reduced to 5.5 mmHg, MVA increased to 1.3 cm<sup>2</sup>, and TVG reduced to 3.5 mmHg. The patient had significant symptomatic improvement and remained clinically stable at one-month follow-up. This case discusses the considerations for planning, feasibility and efficacy of concurrent balloon valvuloplasty in appropriately selected patients.</div></div>\",\"PeriodicalId\":100217,\"journal\":{\"name\":\"Cardiovascular Revascularization Medicine: Interesting Cases\",\"volume\":\"7 \",\"pages\":\"Article 100069\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-04-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Cardiovascular Revascularization Medicine: Interesting Cases\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2950275625000152\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cardiovascular Revascularization Medicine: Interesting Cases","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2950275625000152","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Concomitant balloon mitral and tricuspid valvuloplasty using a single Sym balloon
A 31-year-old male with severe rheumatic mitral and tricuspid stenosis presented with NYHA class III dyspnea and pedal edema. Echocardiography confirmed severe mitral (MVA: 0.7 cm2, MVG: 8.5 mmHg) and tricuspid stenosis (TVG: 5 mmHg). He underwent sequential balloon mitral and tricuspid valvuloplasty using a single Sym balloon following which the MVG reduced to 5.5 mmHg, MVA increased to 1.3 cm2, and TVG reduced to 3.5 mmHg. The patient had significant symptomatic improvement and remained clinically stable at one-month follow-up. This case discusses the considerations for planning, feasibility and efficacy of concurrent balloon valvuloplasty in appropriately selected patients.
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