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Images in Clinical Medicine
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Volume 331:846 September 29, 1994 Number 13
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Percutaneous Balloon Pulmonary Valvuloplasty

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Figure 1


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Figure 1. Percutaneous Balloon Pulmonary Valvuloplasty.

A 49-year-old woman with symptomatic pulmonary stenosis underwent percutaneous balloon valvuloplasty. In Panel A a guide wire has been advanced into the left pulmonary artery, and a contrast-filled, catheter-mounted balloon straddles the stenotic pulmonary valve. In Panel B the 25-mm balloon is fully inflated to a pressure of 3 atmospheres, with dilatation of the pulmonary valve, as evidenced by the disappearance of the balloon waist. The transvalvular pressure gradient was reduced from 65 to 32 mm Hg.

 


David Keane, M.R.C.P.I.
Graham Jackson, F.R.C.P.
Guy's Hospital
London SE1 9RT, United Kingdom


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