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[Left ventricular perforation following percutaneous mitral valvuloplasty. Its emergency surgical correction in situ.
J M Mesa1, N Sobrina, J L Larrea
1Unidad Médico-Quirúrgica de Cardiologia, Hospital La Paz, Universidad Autónoma de Madrid.
Insights
Percutaneous mitral valvuloplasty for rheumatic mitral stenosis can cause ventricular perforation. This case shows successful emergency repair of a left ventricular rupture in the catheterization lab.
Area of Science:
- Cardiology
- Interventional Cardiology
- Cardiac Surgery
Background:
- Percutaneous mitral valvuloplasty (PMV) is a standard treatment for rheumatic mitral stenosis.
- Complications, such as ventricular perforation, can occur during PMV.
Observation:
- A patient undergoing PMV developed a left ventricular perforation and hyperacute cardiac tamponade.
- The perforation occurred immediately following the procedure.
Findings:
- Emergency in situ surgical repair of the ventricular rupture was performed.
- The repair was successful, stabilizing the patient.
Implications:
- This case highlights the potential for severe complications during PMV.
- It demonstrates the feasibility of immediate, on-site surgical intervention for ventricular rupture in the catheterization laboratory.
- This approach may improve outcomes for patients experiencing this rare complication.
Abstract:
Percutaneous mitral valvuloplasty is actually accepted as alternative to surgery for treatment of rheumatic mitral stenosis, although today it is not still free from troublesome complications like ventricular perforation. We present here a patient in which was performed a percutaneous mitral valvuloplasty and that developed a left ventricular perforation at the end of the procedure, with hyperacute cardiac tamponade, requiring an in situ surgical salvagement on an emergency basis, performing a successful repair of the ventricular rupture in the own catheterization laboratory.