Iatrogenic Atrial Septal Defect After MitraClip Transcatheter Edge-to-Edge Repair: To Close or Not to Close?

IF 0.9 4区 医学 Texas Heart Institute Journal Pub Date : 2024-07-31 DOI:10.14503/THIJ-23-8337
Mariem Abdelsalam, Raghad Younus, Lamis F Abdalla, Abdelkader Almanfi
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Abstract

The evolution of percutaneous procedures that use transseptal puncture to treat left-sided structural heart disease has led to the emergence of iatrogenic atrial septal defects as a potential complication. These defects can result in hemodynamic decompensation and worsening clinical outcomes. Some iatrogenic atrial septal defects require immediate closure, others do not. This case report presents 2 patients who underwent transcatheter edge-to-edge mitral valve repair with transseptal puncture and required iatrogenic atrial septal defect closure (1 immediate and 1 delayed). The goal of this report is to highlight iatrogenic atrial septal defect assessment and the possible need for closure after transseptal puncture.

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MitraClip 经导管边缘到边缘修复术后的先天性房室隔缺损:关闭还是不关闭?
使用经皮穿刺治疗左侧结构性心脏病的经皮手术的发展导致了先天性房间隔缺损这一潜在并发症的出现。这些缺损可导致血流动力学失调和临床预后恶化。有些先天性房间隔缺损需要立即关闭,有些则不需要。本病例报告介绍了 2 例接受经导管二尖瓣边缘对边缘修复术并行经皮穿刺的患者,他们都需要进行先天性房间隔缺损关闭术(1 例立即关闭,1 例延迟关闭)。本报告的目的是强调先天性房间隔缺损的评估以及经房间隔穿刺后可能需要关闭的情况。
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来源期刊
Texas Heart Institute Journal
Texas Heart Institute Journal CARDIAC & CARDIOVASCULAR SYSTEMS-
自引率
11.10%
发文量
131
期刊介绍: For more than 45 years, the Texas Heart Institute Journal has been published by the Texas Heart Institute as part of its medical education program. Our bimonthly peer-reviewed journal enjoys a global audience of physicians, scientists, and healthcare professionals who are contributing to the prevention, diagnosis, and treatment of cardiovascular disease. The Journal was printed under the name of Cardiovascular Diseases from 1974 through 1981 (ISSN 0093-3546). The name was changed to Texas Heart Institute Journal in 1982 and was printed through 2013 (ISSN 0730-2347). In 2014, the Journal moved to online-only publication. It is indexed by Index Medicus/MEDLINE and by other indexing and abstracting services worldwide. Our full archive is available at PubMed Central. The Journal invites authors to submit these article types for review: -Clinical Investigations- Laboratory Investigations- Reviews- Techniques- Coronary Anomalies- History of Medicine- Case Reports/Case Series (Submission Fee: $70.00 USD)- Images in Cardiovascular Medicine (Submission Fee: $35.00 USD)- Guest Editorials- Peabody’s Corner- Letters to the Editor
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