Abstract
Percutaneous balloon mitral valvuloplasty (BMV)using an Accura balloon is an effective procedure for the management of patients with rheumatic mitral stenosis.The inability to cross the mitral valve is one of the prime reasons for procedural failure. Here, we describe the case of a 24 year-old male with severe mitral stenosis with agiant, aneurysmal left atrium (left atrium12.3 × 10.4 cm) where the traditionally described technique of mitral valve entry failed. BMV was successfully performed by a U-shape modification of hairpin loop entry (the modified hairpin entry method), expanding the mitral valve area from 0.8 cm 2 to 1.9 cm 2 .
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