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Safety of percutaneous balloon mitral commissurotomy in patients with thrombus in the left atrial appendage

Journal Title: Postępy w Kardiologii Interwencyjnej - Year 2006, Vol 2, Issue 1

Abstract

Percutaneous mitral balloon commissurotomy (PMC) is an effective therapeutic method of treatment for patients with symptomatic mitral stenosis. The presence of a left atrial thrombus is generally considered as contraindication to PMC. However, if thrombus is entirely within the left atrial appendage the risk of embolic complication is lower. Aim: To assess the safety and efficacy of PMC in patients with mitral stenosis and left atrial appendage thrombus. Material and methods: To identify patients with left atrial thrombus transesophageal echocardiographic examination was performed for all candidates of PMC. The thrombus entirely within the left atrium appendage was found in 39 (2.9%) of 1 353 patients referred for PMC. All 39 patients underwent PMC with the Inoue balloon catheter. Results: PMC was successful in 38 of patients with left atrial appendage thrombus. One patient required emergency surgery because of significant mitral regurgitation. None had evidence of embolism after PMC. Significant improvements in mitral valve area (1.18±0.2 cm2 before PMC and 1.83±0.4cm2 after PMC, p

Authors and Affiliations

Zbigniew Chmielak, Tomasz Deptuch, Marcin Demkow, Marek Konka, Piotr Hoffman, Witold Rużyłło

Keywords

zwężenie zastawki dwudzielnej przezskórna komisurotomia mitralna skrzeplina w lewym przedsionku
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  • EP ID EP112793
  • DOI -
  • Views 75
  • Downloads 0

How To Cite

Zbigniew Chmielak, Tomasz Deptuch, Marcin Demkow, Marek Konka, Piotr Hoffman, Witold Rużyłło (2006). Safety of percutaneous balloon mitral commissurotomy in patients with thrombus in the left atrial appendage. Postępy w Kardiologii Interwencyjnej, 2(1), 94-98. https://europub.co.uk./articles/-A-112793

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