Chapter 57. Balloon Valvuloplasty: Mitral Valve

  1. Salim Yusuf DPhil, FRCPC, FRSC Research Chair Professor of Medicine Director Vice President Research2,3,4,
  2. John A Cairns MD, FRCPC Professor of Medicine Former Dean5,
  3. A John Camm MD British Heart Foundation Professor Head of Cardiac6,
  4. Ernest L Fallen MD, FRCPC Professor Emeritus7 and
  5. Bernard J Gersh MB, ChB, DPhil Consultant Professor of Medicine8
  1. Zoltan G Turi MD Professor Director

Published Online: 21 MAY 2010

DOI: 10.1002/9781444309768.ch57

Evidence-Based Cardiology, Third Edition

Evidence-Based Cardiology, Third Edition

How to Cite

Turi, Z. G. (2009) Balloon Valvuloplasty: Mitral Valve, in Evidence-Based Cardiology, Third Edition (eds S. Yusuf, J. A. Cairns, A. J. Camm, E. L. Fallen and B. J. Gersh), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444309768.ch57

Editor Information

  1. 2

    McMaster University, Canada

  2. 3

    Population Health Research Institute, McMaster University, Hamilton Health Sciences, Canada

  3. 4

    Hamilton Health Sciences, Hamilton, Ontario, Canada

  4. 5

    Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada

  5. 6

    St George's University of London, London, UK

  6. 7

    McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada

  7. 8

    Mayo Clinic College of Medicine, Rochester, MN, USA

Author Information

  1. Robert Wood Johnson Medical School, Structural Heart Disease Program, Cooper University Hospital, Camden, NJ, USA

Publication History

  1. Published Online: 21 MAY 2010
  2. Published Print: 13 NOV 2009

ISBN Information

Print ISBN: 9781405159258

Online ISBN: 9781444309768



  • balloon valvuloplasty - mitral valve;
  • PBMV - percutaneous balloon mitral valvuloplasty;
  • PBMV percutaneous approach;
  • balloon commissurotomy mechanisms and pathophysiology;
  • PBMV nature - rheumatically fused leaflets commissural splitting;
  • balloon dilation, dependent mechanisms - balloon valvuloplasty


This chapter contains sections titled:

  • Introduction and historical perspective

  • The percutaneous approach

  • Mechanism of balloon commissurotomy and Pathophysiology

  • Transesophageal echocardiography

  • Cardiac catheterization

  • Contraindications

  • Procedure

  • Alternative techniques

  • Balloon versus Open and Closed Surgical Commissurotomy

  • Restenosis

  • Complications

  • Postprocedure management

  • Conclusion

  • References