Abstract
Percutaneous mitral valvotomy (PMV) using either the double-balloon or Inoue's monoballoon technique is an accepted therapeutic alternative for the treatment of selected patients with severe mitral stenosis. 1,2 Preliminary in vitro studies suggested commissural splitting as the principal mechanism of mitral valve area increase with both techniques. 3 Echocardiographic studies also have demonstrated commissural splitting after double-balloon PMV, 4 but the degree of splitting in relation to the technique used has not been previously defined.
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