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British Journal of Anaesthesia, Vol 76, Issue 6 879-880, Copyright © 1996 by The Board of Management and Trustees of the British Journal of Anaesthesia

CASE REPORTS

Balloon mitral valve dilatation as an aid to weaning from ventilatory support in patients with intractable pulmonary oedema caused by severe mitral stenosis

G. Davis, R. M. Khan, N. Randall, J. S. Wright and D. H. Roberts
Regional Cardiothoracic Centre, Blackpool Victoria Hospital, Blackpool FY3 8NR; Department of Anaesthetics, Blackpool Victoria Hospital, Blackpool FY3 8NR

Intractable pulmonary oedema in patients undergoing mechanical ventilation must be investigated as older patients with severe mitral stenosis can be rescued by balloon dilatation of the mitral valve, thus enabling elective cardiac surgery at reduced risk. We describe two such cases and discuss the role of transoesophageal echocardiography in the intensive care unit in the diagnosis and management of these patients.
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