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Cardiovasc Revasc Med · Sep 2016
Review Case ReportsWhen to close iatrogenic atrial septal defect after percutaneous edge to edge repair of mitral valve regurgitation.
- Satish Chandraprakasam and Ruby Satpathy.
- Division of Cardiology, Creighton University School of Medicine, Omaha, NE. Electronic address: sat_cp@hotmail.com.
- Cardiovasc Revasc Med. 2016 Sep 1; 17 (6): 421-3.
AbstractTransseptal puncture is increasingly utilized in electrophysiology and interventional cardiology. With a wide range of therapeutic indications, incidence of iatrogenic atrial septal defect (iASD) is likely to increase. However, the clinical and hemodynamic significance of iatrogenic atrial septal defect is not clear. We report a case of an 88year old woman with prior transcatheter aortic valve implantation and symptomatic severe degenerative mitral regurgitation. She developed persistent hypoxemia following MitraClip(®) procedure, requiring closure of iASD resulting in immediate recovery of hemodynamics. In here, we discuss the hemodynamic changes following percutaneous mitral valve repair and review the evidence supporting the closure of iatrogenic atrial septal defects. Copyright © 2016 Elsevier Inc. All rights reserved.
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