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When to close iatrogenic atrial septal defect after percutaneous edge to edge repair of mitral valve regurgitation.

Authors :
Chandraprakasam S
Satpathy R
Source :
Cardiovascular revascularization medicine : including molecular interventions [Cardiovasc Revasc Med] 2016 Sep; Vol. 17 (6), pp. 421-3. Date of Electronic Publication: 2016 Apr 25.
Publication Year :
2016

Abstract

Transseptal puncture is increasingly utilized in electrophysiology and interventional cardiology. With a wide range of therapeutic indications, incidence of iatrogenic atrial septal defect (iASD) is likely to increase. However, the clinical and hemodynamic significance of iatrogenic atrial septal defect is not clear. We report a case of an 88year old woman with prior transcatheter aortic valve implantation and symptomatic severe degenerative mitral regurgitation. She developed persistent hypoxemia following MitraClip(®) procedure, requiring closure of iASD resulting in immediate recovery of hemodynamics. In here, we discuss the hemodynamic changes following percutaneous mitral valve repair and review the evidence supporting the closure of iatrogenic atrial septal defects.<br /> (Copyright © 2016 Elsevier Inc. All rights reserved.)

Details

Language :
English
ISSN :
1878-0938
Volume :
17
Issue :
6
Database :
MEDLINE
Journal :
Cardiovascular revascularization medicine : including molecular interventions
Publication Type :
Academic Journal
Accession number :
27162141
Full Text :
https://doi.org/10.1016/j.carrev.2016.04.005