Iatrogenic Atrial Septal Defect After Percutaneous Mitral Valve Repair With MitraClip: Should We Consider Closing Them Routinely? 2020

Ariana Gonzálvez-García, and Alfonso Jurado-Román, and Harold Hernández-Matamoros, and Santiago Jiménez-Valero, and Guillermo Galeote, and Raúl Moreno, and José Luis López-Sendón
La Paz University Hospital, Paseo de la Castellana, 261, 28046 Madrid, Spain. arianagonzalvez@gmail.com.

Percutaneous MitraClip intervention for treatment of severe mitral regurgitation in high surgical risk patients requires large-diameter transseptal sheaths that can result in iatrogenic atrial septal defect (iASD), and its prevalence is higher compared with non-MitraClip procedures. This iASD is not routinely closed because the possible consequences are still not fully understood. However, we believe it is important to identify patients who may benefit from its closure immediately after the procedure to prevent hemodynamic deterioration and long-term negative clinical outcomes. We describe our experience with 2 patients who required iASD closure after MitraClip procedure due to right-to-left shunt resulting from increase in right heart pressures.

UI MeSH Term Description Entries
D007049 Iatrogenic Disease Any adverse condition in a patient occurring as the result of treatment by a physician, surgeon, or other health professional, especially infections acquired by a patient during the course of treatment. Hospital-Acquired Condition,Condition, Hospital-Acquired,Conditions, Hospital-Acquired,Disease, Iatrogenic,Diseases, Iatrogenic,Hospital Acquired Condition,Hospital-Acquired Conditions,Iatrogenic Diseases
D008943 Mitral Valve The valve between the left atrium and left ventricle of the heart. Bicuspid Valve,Bicuspid Valves,Mitral Valves,Valve, Bicuspid,Valve, Mitral,Valves, Bicuspid,Valves, Mitral
D008944 Mitral Valve Insufficiency Backflow of blood from the LEFT VENTRICLE into the LEFT ATRIUM due to imperfect closure of the MITRAL VALVE. This can lead to mitral valve regurgitation. Mitral Incompetence,Mitral Regurgitation,Mitral Valve Incompetence,Mitral Insufficiency,Mitral Valve Regurgitation,Incompetence, Mitral,Incompetence, Mitral Valve,Insufficiency, Mitral,Insufficiency, Mitral Valve,Regurgitation, Mitral,Regurgitation, Mitral Valve,Valve Incompetence, Mitral,Valve Insufficiency, Mitral,Valve Regurgitation, Mitral
D006328 Cardiac Catheterization Procedures in which placement of CARDIAC CATHETERS is performed for therapeutic or diagnostic procedures. Catheterization, Cardiac,Catheterization, Heart,Heart Catheterization,Cardiac Catheterizations,Catheterizations, Cardiac,Catheterizations, Heart,Heart Catheterizations
D006344 Heart Septal Defects, Atrial Developmental abnormalities in any portion of the ATRIAL SEPTUM resulting in abnormal communications between the two upper chambers of the heart. Classification of atrial septal defects is based on location of the communication and types of incomplete fusion of atrial septa with the ENDOCARDIAL CUSHIONS in the fetal heart. They include ostium primum, ostium secundum, sinus venosus, and coronary sinus defects. Atrial Septal Defects,Ostium Primum Atrial Septal Defect,Persistent Ostium Primum,Atrial Septal Defect,Atrial Septal Defect Ostium Primum,Ostium Secundum Atrial Septal Defect,Defect, Atrial Septal,Ostium Primum, Persistent,Primum, Persistent Ostium,Septal Defect, Atrial
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D016896 Treatment Outcome Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series. Rehabilitation Outcome,Treatment Effectiveness,Clinical Effectiveness,Clinical Efficacy,Patient-Relevant Outcome,Treatment Efficacy,Effectiveness, Clinical,Effectiveness, Treatment,Efficacy, Clinical,Efficacy, Treatment,Outcome, Patient-Relevant,Outcome, Rehabilitation,Outcome, Treatment,Outcomes, Patient-Relevant,Patient Relevant Outcome,Patient-Relevant Outcomes

Related Publications

Ariana Gonzálvez-García, and Alfonso Jurado-Román, and Harold Hernández-Matamoros, and Santiago Jiménez-Valero, and Guillermo Galeote, and Raúl Moreno, and José Luis López-Sendón
February 2018, The American journal of cardiology,
Ariana Gonzálvez-García, and Alfonso Jurado-Román, and Harold Hernández-Matamoros, and Santiago Jiménez-Valero, and Guillermo Galeote, and Raúl Moreno, and José Luis López-Sendón
April 2022, Acta cardiologica,
Ariana Gonzálvez-García, and Alfonso Jurado-Román, and Harold Hernández-Matamoros, and Santiago Jiménez-Valero, and Guillermo Galeote, and Raúl Moreno, and José Luis López-Sendón
April 2014, The American journal of cardiology,
Ariana Gonzálvez-García, and Alfonso Jurado-Román, and Harold Hernández-Matamoros, and Santiago Jiménez-Valero, and Guillermo Galeote, and Raúl Moreno, and José Luis López-Sendón
June 2021, Scientific reports,
Ariana Gonzálvez-García, and Alfonso Jurado-Román, and Harold Hernández-Matamoros, and Santiago Jiménez-Valero, and Guillermo Galeote, and Raúl Moreno, and José Luis López-Sendón
January 1976, Acta clinica Belgica,
Ariana Gonzálvez-García, and Alfonso Jurado-Román, and Harold Hernández-Matamoros, and Santiago Jiménez-Valero, and Guillermo Galeote, and Raúl Moreno, and José Luis López-Sendón
October 2012, Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions,
Ariana Gonzálvez-García, and Alfonso Jurado-Román, and Harold Hernández-Matamoros, and Santiago Jiménez-Valero, and Guillermo Galeote, and Raúl Moreno, and José Luis López-Sendón
March 2015, JACC. Cardiovascular interventions,
Ariana Gonzálvez-García, and Alfonso Jurado-Román, and Harold Hernández-Matamoros, and Santiago Jiménez-Valero, and Guillermo Galeote, and Raúl Moreno, and José Luis López-Sendón
August 2015, JACC. Cardiovascular interventions,
Ariana Gonzálvez-García, and Alfonso Jurado-Román, and Harold Hernández-Matamoros, and Santiago Jiménez-Valero, and Guillermo Galeote, and Raúl Moreno, and José Luis López-Sendón
January 2021, Cardiovascular intervention and therapeutics,
Ariana Gonzálvez-García, and Alfonso Jurado-Román, and Harold Hernández-Matamoros, and Santiago Jiménez-Valero, and Guillermo Galeote, and Raúl Moreno, and José Luis López-Sendón
August 2015, JACC. Cardiovascular interventions,
Copied contents to your clipboard!