A 13-year-old child underwent a successful balloon catheter valvular dilatation for rheumatic mitral stenosis, which required a transseptal access and the introduction of one, then simultaneously 2 balloon catheters through the mitral valve, and the technique seems to be adaptable to most children with this condition.

Archives francaises de pediatrie

The first case of balloon catheter valvular dilatation for rheumatic mitral stenosis is reported in a 13 year-old child. The technique, under local anesthesia, required a transseptal access, then the introduction of one, then simultaneously 2 balloon catheters through the mitral valve. A perfect opening of the valve, without mitral insufficiency was obtained. This technique, even if difficult, seems to be adaptable to most children with rheumatic mitral stenosis.

[Rheumatic mitral stenosis. The medical solution].