Right Atrial Clot Formation Early after Percutaneous Mitral Balloon Valvuloplasty

Ateş, Ahmet Hakan; Arslan, Uğur; Aksakal, Aytekin; Yücel, Huriye; Günaydın, Ilksen Atasoy; Ekbul, Adem; Yaman, Mehmet

doi:10.1155/2016/3058015

Cited by 2 publications

(5 citation statements)

References 7 publications

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“…Nonetheless, in this case, we showed that anticoagulant therapy with enoxaparin, followed by warfarin, completely resolved the existing clot and obviated the subsequent need for surgery. Ateş et al 2 reported the same incidence in a 40-year-old patient referred for PBMV. The case was successfully treated within 24 hours of unfractionated heparin infusion.…”

Section: Discussionmentioning

confidence: 61%

“…Nevertheless, complications such as hemopericardium, cardiac rupture, cardiac tamponade, and last but not least clot formation have also been reported after PBMV. 2 …”

Section: Discussionmentioning

confidence: 99%

“…Clot formation in the right and left atria is a rare complication of PBMV which has been previously reported in a few cases. 2 , 12 , 13 Salehi et al 12 reported a case of right atrial clot formation following percutaneous transmitral valvuloplasty, which was treated successfully with surgery. The authors argued that PBMV induced a septal defect in a location other than the foramen ovale, resulting in stalk formation and the subsequent thrombosis.…”

Section: Discussionmentioning

confidence: 99%

“… 7 Hemopericardium, cardiac rupture, cardiac tamponade, and last but not least clot formation have also been reported after PBMV. 2 Given the importance of the abovementioned evidence, we report early right atrial clot formation following PBMV in a patient with severe rheumatic mitral stenosis.…”

Section: Introductionmentioning

confidence: 89%

“…Further, PBMV application is gaining attention in other patients previously thought not to benefit from the procedure. 1 , 2 Thus, patients with symptomatic mitral stenosis need not unnecessarily be treated with open or closed surgical mitral commissurotomy.…”

Section: Introductionmentioning

confidence: 99%

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Percutaneous Balloon Mitral Valvuloplasty and Early Right Atrial Clot Formation: A Case Report

Salehi

Abadi

Parizad

et al. 2020

JTHC

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Percutaneous balloon mitral valvuloplasty (PBMV) has recently become the treatment of choice for many patients suffering from mitral stenosis. In the current report, we introduce a 26-year-old woman who presented to us with palpitation and exertional dyspnea but without any remarkable medical history. ECG illustrated the sinus rhythm, transthoracic echocardiography (TTE) showed severe rheumatic mitral stenosis and (2+) mitral regurgitation, and transesophageal echocardiography (TEE) demonstrated severe mitral stenosis and no thrombus. Accordingly, the patient underwent percutaneous transvenous mitral commissurotomy (PTMC). On the following day, TTE showed a fresh mobile thrombus in the right atrium attached to the atrial septum, which was confirmed by TEE. As a result, the patient received 1 mg/kg (60 mg) of enoxaparin subcutaneously twice daily plus 5 mg of warfarin daily. Subsequent TTE revealed no mass 4 days after the treatment. Evidence suggests that endocardial surface injury and trans-septal puncture during PTMC may be associated with clot formation, which is aggravated by low blood flow in the right atrium and the catheter as a foreign body. This case report emphasizes the importance of postPTMC anticoagulant therapy.

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Section: Discussionmentioning

confidence: 61%

“…Nevertheless, complications such as hemopericardium, cardiac rupture, cardiac tamponade, and last but not least clot formation have also been reported after PBMV. 2 …”

Section: Discussionmentioning

confidence: 99%