Percutaneous balloon valvotomy for combined rheumatic mitral and aortic stenosis

Balloon dilatation of the mitral valve is an established modality of treating patients with mitral stenosis. However, there is limited experience for simultaneous dilatation of combined mitral and aortic stenosis report our experience in percutaneous balloon valvotomy for combined mitral and aortic rheumatic stenosis. we describe a case of a 33 years old woman who successfully balloon valvotomy for rheumatic mitral and aortic stenosis via the transseptal anterog ade approach using Inoue balloon for mitral valve and retrograde approach single balloon for aortic valve. Double valve balloon valvotomy is feasible and safe in selected patients with combined mitral and aortic rheumatic stenosis