An effective percutaneous transvenous mitral commissurotomy (PTMC) and aortic valvotomy (PTAV) was performed upon a 61-year-old male patient suffered from acute left heart failure due to combined valvular disease (mitral and aortic stenosis) and had complicated with acute renal failure following low cardiac output. Hemodynamic study being examined through Swan-Ganz catheter and echocardiography after PTMC and PTAV showed marked releaf from these two valvular stenosis. We consider that although this new treatment can't exceed surgical commissurotomy in an effect, it can be applied to those who are thought to be riskfull for the surgical intervention because of its inherent characteristics being simple and less invasive.

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