Interatrial Thrombus in Left-Atrial Septal Pouch Prohibiting Transseptal Puncture for Percutaneous Mitral Valve Therapy

An 82-year-old female patient with severe mitral regurgitation was referred for evaluation of percutaneous mitral valve repair. Transoesophageal echocardiography revealed a left-atrial septal pouch (LASP) with an echogenic structure. Following the heart-team decision, interventional therapy was ther...

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Autores principales: Gerçek, Muhammed, Hata, Masathoshi, Gummert, Jan, Rudolph, Volker, Friedrichs, Kai Peter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8209396/
https://www.ncbi.nlm.nih.gov/pubmed/34169264
http://dx.doi.org/10.1016/j.cjco.2021.01.011
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author Gerçek, Muhammed
Hata, Masathoshi
Gummert, Jan
Rudolph, Volker
Friedrichs, Kai Peter
author_facet Gerçek, Muhammed
Hata, Masathoshi
Gummert, Jan
Rudolph, Volker
Friedrichs, Kai Peter
author_sort Gerçek, Muhammed
collection PubMed
description An 82-year-old female patient with severe mitral regurgitation was referred for evaluation of percutaneous mitral valve repair. Transoesophageal echocardiography revealed a left-atrial septal pouch (LASP) with an echogenic structure. Following the heart-team decision, interventional therapy was therefore discarded. During surgery, a thrombus in the LASP was found and carefully resected. Afterward, conventional valve replacement with a biological 31-mm SJM-EPIC prosthesis (Abbott Structural Heart Devices, Santa Clara, CA) was performed. In the fast-evolving field of interventional mitral valve therapy, a trans-septal approach is the common strategy. Therefore, careful evaluation of the interatrial septum—which may contain thrombi with transoesophageal echocardiography before intervention—is of crucial importance.
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spelling pubmed-82093962021-06-23 Interatrial Thrombus in Left-Atrial Septal Pouch Prohibiting Transseptal Puncture for Percutaneous Mitral Valve Therapy Gerçek, Muhammed Hata, Masathoshi Gummert, Jan Rudolph, Volker Friedrichs, Kai Peter CJC Open Case Report An 82-year-old female patient with severe mitral regurgitation was referred for evaluation of percutaneous mitral valve repair. Transoesophageal echocardiography revealed a left-atrial septal pouch (LASP) with an echogenic structure. Following the heart-team decision, interventional therapy was therefore discarded. During surgery, a thrombus in the LASP was found and carefully resected. Afterward, conventional valve replacement with a biological 31-mm SJM-EPIC prosthesis (Abbott Structural Heart Devices, Santa Clara, CA) was performed. In the fast-evolving field of interventional mitral valve therapy, a trans-septal approach is the common strategy. Therefore, careful evaluation of the interatrial septum—which may contain thrombi with transoesophageal echocardiography before intervention—is of crucial importance. Elsevier 2021-01-30 /pmc/articles/PMC8209396/ /pubmed/34169264 http://dx.doi.org/10.1016/j.cjco.2021.01.011 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Gerçek, Muhammed
Hata, Masathoshi
Gummert, Jan
Rudolph, Volker
Friedrichs, Kai Peter
Interatrial Thrombus in Left-Atrial Septal Pouch Prohibiting Transseptal Puncture for Percutaneous Mitral Valve Therapy
title Interatrial Thrombus in Left-Atrial Septal Pouch Prohibiting Transseptal Puncture for Percutaneous Mitral Valve Therapy
title_full Interatrial Thrombus in Left-Atrial Septal Pouch Prohibiting Transseptal Puncture for Percutaneous Mitral Valve Therapy
title_fullStr Interatrial Thrombus in Left-Atrial Septal Pouch Prohibiting Transseptal Puncture for Percutaneous Mitral Valve Therapy
title_full_unstemmed Interatrial Thrombus in Left-Atrial Septal Pouch Prohibiting Transseptal Puncture for Percutaneous Mitral Valve Therapy
title_short Interatrial Thrombus in Left-Atrial Septal Pouch Prohibiting Transseptal Puncture for Percutaneous Mitral Valve Therapy
title_sort interatrial thrombus in left-atrial septal pouch prohibiting transseptal puncture for percutaneous mitral valve therapy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8209396/
https://www.ncbi.nlm.nih.gov/pubmed/34169264
http://dx.doi.org/10.1016/j.cjco.2021.01.011
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