Percutaneous Balloon Mitral Valvuloplasty

Percutaneous Balloon Mitral Valvuloplasty (PBMV) procedure is a used to dilate the mitral valve in the setting of rheumatic mitral valve stenosis.

Catheter inserted into femoral vein
Advanced to the right atrium
Across the interatrial septum
Mitral valve is crossed with a balloon
Inflated to relieve the fusion of the mitral valve
Increases the mitral valve area
Reduces the degree of mitral stenosis

Immediate: After PBMV, mitral valve area approximately doubles in most successful cases.
Long-Term:

Significant functional improvement
Event-free survival for a longer period of time

Postsurgical or Balloon Commissurotomy
Pregnant patients
Children & Adolescents
Atrial fibrillation / Thrombotic formation

PBMV Procedure Results and Special Care Population

Aorto-Ostial Lesions

Contraindication

Moderate or severe regurgitation is present.

Complications

Bleeding at the catheter insertion site
Blood clot to blood vessel at insertion site
Infection risk
Stroke

Pre Procedural Imaging

Aorto-Ostial Lesions

Indications

Moderate & severe mitral stenosis
Favorable valve morphology
Symptomatic
Pulmonary hypertension
New onset of atrial fibrillation