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Case Reports
. 2025 Jul 16;30(19):103962.
doi: 10.1016/j.jaccas.2025.103962.

A Novel Wire-Assisted Percutaneous Mitral Commissurotomy

Chala Fekadu Oljira  1 , Erik J S Packer  2 , Havard Dalen  3 , Tom Roar Omdal  2 , Rune Haaverstad  2 , Adane Petros  1 , Dejuma Yadeta  1 , Thomas Dolven  4 , Arne Skagseth  5 , Nigussie Bogale  6
Affiliations
Case Reports

A Novel Wire-Assisted Percutaneous Mitral Commissurotomy

Chala Fekadu Oljira et al. JACC Case Rep. .

Abstract

We performed percutaneous mitral commissurotomy on 5 patients with long-standing symptoms (16.6 ± 3.9 years) of rheumatic mitral stenosis with high Wilkins scores (9.4 ± 0.9) by using a novel wire-assisted method with high procedural feasibility, satisfactory results, and zero complications.

Keywords: rheumatic mitral stenosis; wire-assisted percutaneous mitral commissurotomy.

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Conflict of interest statement

Funding Support and Author Disclosures The authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Figures

None
Graphical abstract
Figure 1
Figure 1
Procedure (A) Septal puncture during percutaneous mitral commissurotomy. (B) Looped stiff wire through mitral valve and conventional balloon over this wire to perform commissurotomy. Figure illustrated by JSvardal.
Figure 2
Figure 2
Estimation of Balloon Size Bench testing to determine amount of contrast material needed to achieve desired size of balloon.
Figure 3
Figure 3
Ultrasonographic Images of Procedure (A) Conventional J-tipped wire advanced into left ventricle by use of steerable sheath. (B) Balloon positioned at mitral valve. (C) Partially inflated balloon. (D) Fully inflated balloon with no residual shouldering.
Figure 4
Figure 4
Echocardiographic and Clinical Findings Before and After Procedure MR = mitral regurgitation; MV = mitral valve; TR = tricuspid regurgitation.
See this image and copyright information in PMC

References

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