1887
Volume 2013, Issue 2
  • ISSN: 2305-7823
  • E-ISSN:

Abstract

The incidence of hemopericardium following percutaneous mitral valvuloplasty is reported at 1–3%, being related to either trans-septal puncture, or left ventricular perforation with guide wires or balloons. We report a case of percutaneous mitral valvuloplasty for a middle-aged man with moderately severe rheumatic mitral stenosis. The procedure was performed through a right femoral vein approach, employing the multitrack technique, utilizing 2 balloons (20 and 18 mm). Inadvertently, the procedure was complicated by cardiac tamponade. Despite immediate diagnosis and prompt pericardiocentesis, hemodynamic stability was not maintained. Echocardiography revealed a mass in the posterior pericardial sac. The patient was arrested in asystole, and rigorously resuscitated during transfer to the operating room. Exploration revealed a tear in the left ventricular apex that was adequately sutured. In a few days, the patient gradually regained adequate consciousness, and was ultimately discharged. Post-procedural echocardiography revealed a mitral valve area of 1.9 cm2, with no mitral regurgitation.

Loading

Article metrics loading...

/content/journals/10.5339/gcsp.2013.23
2013-08-01
2019-12-11
Loading full text...

Full text loading...

/deliver/fulltext/gcsp/2013/2/gcsp.2013.23.html?itemId=/content/journals/10.5339/gcsp.2013.23&mimeType=html&fmt=ahah

References

  1. Prendergast BD, Shaw TRD, Iung B, Vahanian A, Northridge DB. Contemporary criteria for the selection of patients for percutaneous balloon mitral valvuloplasty. Heart. 2002; 87::401404
    [Google Scholar]
  2. Harrison JK, Wilson JS, Hearne SE, Bashore TM. Complications related to percutaneous transvenous mitral commissurotomy. Cathet Cardiovasc Diagn. 1994; Suppl. 2::5260
    [Google Scholar]
  3. Berland J, Gerber L, Gamra H, Bousadia H, Cribier A, Letac B. Percutaneous balloon valvuloplasty for mitral stenosis complicated by fatal pericardial tamponade in a patient with extreme pulmonary hypertension. Cathet Cardiovasc Diagn. 1989; 17::109111
    [Google Scholar]
  4. Pan M, Medina A, Suárez de Lezo J, Hernández E, Romero M, Pavlovic D, Melián F, Segura J, Román M, Montero A, Morales J, Franco M, Montijano A, Vallés F. Cardiac tamponade complicating mitral balloon valvuloplasty. Am J Cardiol. 1991; 68::802805
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journals/10.5339/gcsp.2013.23
Loading
/content/journals/10.5339/gcsp.2013.23
Loading

Data & Media loading...

Supplements

Supplementary File 1

  • Article Type: Research Article
Keyword(s): cardiac tamponade , left ventricular perforation and percutaneous mitral valvuloplasty
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error