Iatrogenic Atrial Septal Defect Closure Following Mitral Transcatheter Edge-to-Edge Repair: When Do You Close?

Transcatheter edge-to-edge repair has revolutionized the management of mitral regurgitation in the high surgical-risk population. Iatrogenic atrial septal defects (iASDs) are an obligatory consequence of the procedure. The long-term sequelae of persistent iASDs are unknown but are believed to be dep...

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Detalles Bibliográficos
Autores principales: Shetty, Mrinali, Lampert, Mark B., Levisay, Justin, Erwin, John P., Ricciardi, Mark J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Mini-Focus Issue: Valvular Heart Disease Guidelines
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8311052/
https://www.ncbi.nlm.nih.gov/pubmed/34317536
http://dx.doi.org/10.1016/j.jaccas.2020.12.009
Descripción
Sumario:Transcatheter edge-to-edge repair has revolutionized the management of mitral regurgitation in the high surgical-risk population. Iatrogenic atrial septal defects (iASDs) are an obligatory consequence of the procedure. The long-term sequelae of persistent iASDs are unknown but are believed to be dependent on their size, directionality of flow, and underlying hemodynamics. We discuss an uncommon scenario of a post–transcatheter edge-to-edge repair iASD that required immediate closure. (Level of Difficulty: Intermediate.)

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