Mitral stenosis is almost always a result of Rheumatic fever in childhood is common in our country. The mitral valve separates the left atrium from the left ventricle. In mitral stenosis there is narrowing of the mitral valve orifice resulting in increase resistance to flow of blood from the left atrium to the left ventricle. One of the best treatment option is balloon mitral valvotomy where a balloon is placed across the mitral valve and inflated resulting in tear of the commissures. To reach the mitral valve from the venous side a puncture has to be made in the atrial septum. Complications associated with the procedure include need for emergency mitral valve replacement due to excess tear of the valve resulting in severe mitral valve leaking, and accidental puncture of the atrial free wall resulting in collection of blood in the pericardial space (pericardial tamponade).
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