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Severe Left-to-Right Shunting from Iatrogenic Atrial Septal Defect

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Atlas of Percutaneous Edge-to-Edge Mitral Valve Repair

Abstract

Pulmonary hypertension may persist after MitraClip repair of mitral regurgitation. The iatrogenic atrial septal defect (ASD) created by the MitraClip guide may result in significant left-to-right shunting and aggravate the pulmonary hypertension. In this case example, a patient with persistent pulmonary hypertension and severe left-to-right shunting from the iatrogenic ASD was treated with an atrial septal occluder at the end of the MitraClip procedure.

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References

  1. Siegel RJ, Biner S, Rafique AM, Rinaldi M, Lim S, Fail P, Hermiller J, Smalling R, Whitlow PL, Herrmann HC, Foster E, Feldman T, Glower D, Kar S, EVEREST Investigators. The acute hemodynamic effects of MitraClip therapy. J Am Coll Cardiol. 2011;57(16):1658–65.

    Article  Google Scholar 

  2. Goldstone AB, Chikwe J, Pinney SP, Anyanwu AC, Funt SA, Polanco A, Adams DH. Incidence, epidemiology, and prognosis of residual pulmonary hypertension after mitral valve repair for degenerative mitral regurgitation. Am J Cardiol. 2011;107(5):755–60.

    Article  Google Scholar 

  3. Walls MC, Cimino N, Bolling SF, Bach DS. Persistent pulmonary hypertension after mitral valve surgery: does surgical procedure affect outcome? J Heart Valve Dis. 2008;17:1–9.

    PubMed  Google Scholar 

  4. Gaemperli O, Moccetti M, Surder D, Biaggi P, Hurlimann D, Kretschmar O, Buehler I, Bettex D, Felix C, Luscher TF, Falk V, Grunenfelder J, Corti R. Acute haemodynamic changes after percutaneous mitral valve repair: relation to mid-term outcomes. Heart. 2012;98(2):126–32.

    Article  Google Scholar 

  5. Balint OH, Samman A, Haberer K, Tobe L, McLaughlin P, Siu SC, Horlick E, Granton J, Silversides CK. Outcomes in patients with pulmonary hypertension undergoing percutaneous atrial septal defect closure. Heart. 2008;94(9):1189–93.

    Article  CAS  Google Scholar 

  6. Patel A, Lopez K, Banerjee A, Joseph A, Cao QL, Hijazi ZM. Transcatheter closure of atrial septal defects in adults  >  or =40 years of age: immediate and follow-up results. J Interv Cardiol. 2007;20(1):82–8.

    Article  Google Scholar 

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Correspondence to Mark Hünlich M.D. .

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© 2013 Springer-Verlag London

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Hünlich, M., Puls, M., Schillinger, W. (2013). Severe Left-to-Right Shunting from Iatrogenic Atrial Septal Defect. In: Feldman, T., Franzen, O., Low, R., Rogers, J., Yeo, K.K. (eds) Atlas of Percutaneous Edge-to-Edge Mitral Valve Repair. Springer, London. https://doi.org/10.1007/978-1-4471-4294-2_32

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  • DOI: https://doi.org/10.1007/978-1-4471-4294-2_32

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4293-5

  • Online ISBN: 978-1-4471-4294-2

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