Re-intervention percutaneous balloon mitral valvuloplasty in a patient with left atrial appendage thrombus: a case report.

ABSTRACT:

Background

Percutaneous balloon mitral valvuloplasty (PBMV) using an Accura balloon is an effective method for management of rheumatic mitral stenosis.

Case summary

Herein, we present a case of a 43-year-old female, who had undergone a previous PBMV, who presented with very severe mitral re-stenosis with Type Ia left atrial (LA) clot, in atrial fibrillation and New York Heart Association functional Class III. We used the modified septal puncture and over-the-wire technique, avoiding inadvertent manipulation of the LA clot for PBMV. The mitral valve was successfully dilated from 0.9 to 1.5 cm², and the patient had an uneventful post-procedure recovery.

Discussion

The presence of LA clot and mitral re-stenosis in a previously intervened valve are considered u

SUBMITTER: Parikh R 

PROVIDER: S-EPMC9547540 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature