Percutaneous balloon dilatation of mitral valve stenosis and aortic coarctation.

We describe the percutaneous management of a 19-year-old woman with juvenile rheumatic mitral stenosis, associated with aortic coarctation. The dilemmas were both diagnostic and therapeutic, i.e., the association of juvenile rheumatic mitral stenosis with aortic coarctation and the difficult surgical approach of managing both lesions in the same intervention. We performed the balloon dilatation of these lesions during the same procedure, with good short- and long-term results.