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Echocardiography could be an excellent modality for evaluating the results and recognizing the complication of balloon valvuloplasty.

Conservative treatment with follow up echocardiography for stable pulmonary balloon valvoplasty is recommended.Follow up transthoracic echocardiography after one month of the procedure revealed dilated PA with obvious flap inside the main PA.The patient was nominated for surgery despite the fact that the patient was asymptomatic as they found more dilation of the main PA than prior to the valvoplasty.During recent echocardiography, an intimal flap was detected in the main PA and entry site was clearly seen by contrast study.Correspondence: Mozhgan Parsaee, MD; Shaheed Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Postal code: 19969-11151, Tehran, Iran Tel: 98 21 23922151 Fax: 98 21 22055594 Email: [email protected] is an Open Access article distributed under the terms of the Creative Commons Attribution License, ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Clearly, experience of echocardiographer as well as equipment quality is critical for a better visual station of the pulmonary artery.

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