Persistent right heart dilatation after percutaneous mitral balloon valvuloplasty: A weird coexistence of iatrogenic and congenital shunts

Özet

We present an interesting case of concomitant congenital anomalies with an iatrogenic defect. The female patient underwent a percutaneous mitral balloon valvuloplasty due to rheumatic mitral stenosis. Unfortunately, an iatrogenic atrial septal defect (ASD) transpired during the procedure. Upon post-procedure examination, partial anomalous pulmonary venous (PAPVR) return was observed. The patient was symptomatic; on imaging, dilatation of the right heart chambers were detected. In addition, another crucial point was that the patient was planning a pregnancy, thus robotic surgery for iatrogenic ASD and PAPVR return was recommended. After a successful operation, the patient was asymptomatic and the size of right heart chambers were normalized. © 2022 Wiley Periodicals LLC.

Açıklama

Anahtar Kelimeler

Iatrogenic Atrial Septal Defect, Pregnancy, Pulmonary Venous Return Abnormality, Rheumatic Mitral Stenosis

Kaynak

Echocardiography

WoS Q Değeri

Q4

Scopus Q Değeri

Q3

Cilt

Sayı

Künye

Guler, A., Topel, C., Memic Sancar, K., Kahveci, G., Onan, B., & Guler, G. B. (2022). Persistent right heart dilatation after percutaneous mitral balloon valvuloplasty: A weird coexistence of iatrogenic and congenital shunts. Echocardiography, doi:10.1111/echo.15401