Percutaneous balloon valvuloplasty for concurrent mitral, aortic and tricuspid rheumatic stenosis

Transjugular approach to concurrent mitral-aortic and mitral-tricuspid balloon valvuloplasty

A transjugular approach was successfully used for concurrent mitral-aortic and mitral-tricuspid valvuloplasty in one patient each. This approach simplifies antegrade transvenous aortic valve dilatation in rheumatic aortic stenosis. Advantages obtained by transjugular tricuspid valvuloplasty are easy crossing of the tricuspid valve and stable balloon position, co-axial with the tricuspid orifice.