The steps for balloon mitral valvotomy are shown. A

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The steps for balloon mitral valvotomy are shown. A The steps for balloon mitral valvotomy are shown. A. Beginning inflation of the distal portion of the Inoue balloon. B. Full inflation of the distal portion of the balloon securing it distally. C. Proximal balloon inflation creating a waist at the site of the stenosis. D. Full balloon inflation. Reproduced with permission from Kawanishi and Rahimtoola.51 Source: Chapter 78. Mitral Stenosis, Hurst's The Heart, 13e Citation: Fuster V, Walsh RA, Harrington RA. Hurst's The Heart, 13e; 2011 Available at: http://accessmedicine.mhmedical.com/DownloadImage.aspx?image=/data/books/hurs13/hurs13_c078f006.jpg&sec=40293233&BookID=376&ChapterSecID=40279812&imagename= Accessed: October 13, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved