Department of Cardiology , Advanced Cardiac Center, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Abstract
Coexistence of an atrial septal defect (ASD) and acquired rheumatic mitral valve disease is uncommon. Transseptal puncture during percutaneous transvenous mitral commissurotomy (PTMC) can be technically difficult and challenging in patients with the pericardial or synthetic patch at the interatrial septum following ASD repair. We describe a middle-aged woman who had pericardial patch repair of ASD during childhood and now presented with severe, symptomatic rheumatic mitral stenosis. She had successful PTMC through a transseptal approach, following the puncture of the pericardial patch. The technical details about the transseptal approach following the surgical patch repair of the ASD are discussed in the article.(Iranian Heart Journal 2022; 23(2): 116-119)
Carapetis JR, Steer AC, Mulholland EK, Weber M. The global burden of group A streptococcal diseases. Lancet Infect Dis. 2005; 5:685-94.
Kumar RK, Tandon R. Rheumatic fever & rheumatic heart disease: the last 50 years. Indian J Med Res. 2013; 137:643-58.
Bashi VV, Ravikumar E, Jairaj PS, Krishnaswami S, John S. Coexistent mitral valve disease with left-to-right shunt at the atrial level: clinical profile, hemodynamics, and surgical considerations in 67 consecutive patients. Am Heart J. 1987; 114:1406-14.
Palacios IF, Arzamendi D. Percutaneous Mitral Balloon Valvuloplasty for Patients with Rheumatic Mitral Stenosis. Interv Cardiol Clin. 2012; 1:45-61.
O'Brien B, Zafar H, De Freitas S, Sharif F. Transseptal puncture - Review of anatomy, techniques, complications and challenges. Int J Cardiol. 2017; 233:12-22.
Salghetti F, Sieira J, Chierchia GB, Curnis A, de Asmundis C. Recognizing and reacting to complications of trans-septal puncture. Expert Rev Cardiovasc Ther. 2017; 15:905-912.
Lakkireddy D, Rangisetty U, Prasad S, Verma A, Biria M, Berenbom L, Pimentel R, Emert M, Rosamond T, Fahmy T, Patel D, Di Biase L, Schweikert R, Burkhardt D, Natale A. Intracardiac echo-guided radiofrequency catheter ablation of atrial fibrillation in patients with atrial septal defect or patent foramen ovale repair: a feasibility, safety, and efficacy study. J Cardiovasc Electrophysiol. 2008; 19:1137-42.
Capulzini L, Paparella G, Sorgente A, de Asmundis C, Chierchia GB, Sarkozy A, Muller-Burri A, Yazaki Y, Roos M, Brugada P. Feasibility, safety, and outcome of a challenging transseptal puncture facilitated by radiofrequency energy delivery: a prospective single-Center study. Europace. 2010; 12:662-7.
El-Said HG, Ing FF, Grifka RG, Nihill MR, Morris C, Getty-Houswright D, Mullins CE. 18-year experience with transseptal procedures through baffles, conduits, and other intra-atrial patches. Catheter Cardiovasc Interv. 2000; 50:434-9.
Koduganti SC, Maddury J, Patnaik A, Kumar R. Balloon Mitral Valvuloplasty by Antegrade Technique in a Postoperative Patient Who Underwent Dacron Patch Closure of ASD. Indian Heart J. 2006; 58:68-9.
Vijayvergiya R, Sharma R, Shetty R, Subramaniyan A, Karna S, Chongtham D. Effect of percutaneous transvenous mitral commissurotomy on left atrial appendage function: an immediate and 6-month follow-up transesophageal Doppler study. J Am Soc Echocardiogr. 2011; 24:1260-7.
Cequier A, Bonan R, Serra A, Dyrda I, Crépeau J, Dethy M, Waters D. Left-to-right atrial shunting after percutaneous mitral valvuloplasty. Incidence and long-term hemodynamic follow-up. Circulation. 1990; 81:1190-7.
Vijayvergiya, R., Vijay, J., Kasinadhuni, G., Kaushal, S., Kaur, N., & Sharma, R. (2022). Percutaneous Transvenous Mitral Commissurotomy in a Postoperative Patient With the Pericardial Patch Repair of an Atrial Septal Defect. Iranian Heart Journal, 23(2), 116-119.
MLA
Rajesh Vijayvergiya; Jyothi Vijay; Ganesh Kasinadhuni; Sanjeev Kaushal; Navjyot Kaur; Rajat Sharma. "Percutaneous Transvenous Mitral Commissurotomy in a Postoperative Patient With the Pericardial Patch Repair of an Atrial Septal Defect". Iranian Heart Journal, 23, 2, 2022, 116-119.
HARVARD
Vijayvergiya, R., Vijay, J., Kasinadhuni, G., Kaushal, S., Kaur, N., Sharma, R. (2022). 'Percutaneous Transvenous Mitral Commissurotomy in a Postoperative Patient With the Pericardial Patch Repair of an Atrial Septal Defect', Iranian Heart Journal, 23(2), pp. 116-119.
VANCOUVER
Vijayvergiya, R., Vijay, J., Kasinadhuni, G., Kaushal, S., Kaur, N., Sharma, R. Percutaneous Transvenous Mitral Commissurotomy in a Postoperative Patient With the Pericardial Patch Repair of an Atrial Septal Defect. Iranian Heart Journal, 2022; 23(2): 116-119.
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