Document Detail

Right heart failure due to an inter-atrial shunt after percutaneous mitral balloon dilatation.
MedLine Citation:
PMID:  2707276     Owner:  NLM     Status:  MEDLINE    
Percutaneous mitral valve dilatation was performed in a 61-year-old female patient with severe mitral valve stenosis. The valve could be dilated, but a moderate left to right atrial shunt was present after the procedure. Although the mitral valve area had increased from 1 cm2 to 1.7 cm2, the patient presented 1 week later with right heart failure, explained by right heart volume overload resulting from the persistent shunt. Clinical status quickly improved with diuretics. Although this evolution has not been previously reported, it may be expected in older patients with decreased compliance of pulmonary arteries and right heart chambers.
Y L'Epine; G Drobinski; Y Sotirov; N Moussallem; V Voudris; M Komajda; Y Grosgogeat
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European heart journal     Volume:  10     ISSN:  0195-668X     ISO Abbreviation:  Eur. Heart J.     Publication Date:  1989 Mar 
Date Detail:
Created Date:  1989-05-26     Completed Date:  1989-05-26     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8006263     Medline TA:  Eur Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  285-7     Citation Subset:  IM    
Service de Cardiologie, C.H.U. Pitié-Salpétrière, Paris, France.
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MeSH Terms
Balloon Dilatation / adverse effects*
Cardiac Volume
Coronary Circulation*
Heart Atria
Heart Failure / etiology*
Heart Septum / surgery
Middle Aged
Mitral Valve Stenosis / therapy*
Punctures / adverse effects

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