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Cardio-embolic stroke due to valve tissue embolization during Percutaneous Transseptal Mitral Commissurotomy (PTMC)
- Source :
- Indian Heart Journal, Vol 66, Iss 5, Pp 546-549 (2014)
- Publisher :
- Cardiological Society of India. Published by Elsevier, a division of Reed Elsevier India, Pvt. Ltd.
-
Abstract
- Percutaneous Transseptal Mitral Commissurotomy (PTMC) has replaced surgical commissurotomy as a treatment of choice in selected patients of rheumatic mitral stenosis. Various randomized trials have shown PTMC to be equal or superior to surgical commissurotomy in terms of hemodynamic improvement as well as long term survival. Systemic embolism is one of the dreaded complications of PTMC, which is reported in 0.5–5% of cases and involves cerebral circulation in 1% of cases. Most of the time, periprocedural embolism during PTMC is caused by the mobilization of preexisting thrombus in the left atrial appendage. We report an unusual case of acute stroke due embolization of mitral valve tissue during PTMC.
- Subjects :
- Adult
Male
medicine.medical_specialty
Percutaneous
RD1-811
medicine.medical_treatment
Embolism
Hemodynamics
Case Report
Embolization
Internal medicine
Mitral valve
Diseases of the circulatory (Cardiovascular) system
Humans
Mitral Valve Stenosis
Medicine
cardiovascular diseases
Cardiac Surgical Procedures
Thrombus
Stroke
Mitral stenosis
Valve tissue
business.industry
medicine.disease
Surgery
medicine.anatomical_structure
Echocardiography
RC666-701
Cardiology
cardiovascular system
Tomography, X-Ray Computed
business
Commissurotomy
Cardiology and Cardiovascular Medicine
Subjects
Details
- Language :
- English
- ISSN :
- 00194832
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Indian Heart Journal
- Accession number :
- edsair.doi.dedup.....4bf424a483e5343754fdac3e3f4549d4
- Full Text :
- https://doi.org/10.1016/j.ihj.2014.05.022