@article{hbkup:/content/journals/10.5339/gcsp.2013.23, author = "Rifaie, Osama and Nammas, Wail", title = "Near-fatal cardiac arrest due to cardiac tamponade during percutaneous mitral valvuloplasty", journal= "Global Cardiology Science and Practice", year = "2013", volume = "2013", number = "2", pages = "", doi = "https://doi.org/10.5339/gcsp.2013.23", url = "https://www.qscience.com/content/journals/10.5339/gcsp.2013.23", publisher = "Hamad bin Khalifa University Press (HBKU Press)", issn = "2305-7823", type = "Journal Article", keywords = "percutaneous mitral valvuloplasty", keywords = "left ventricular perforation", keywords = "cardiac tamponade", eid = "23", 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.", }