Document Detail


Transseptal mitral balloon valvotomy in patients with atrial septal aneurysms.
MedLine Citation:
PMID:  9129854     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Transthoracic and transoesophageal echocardiography (TTE, TEE) were performed in 130 consecutive patients referred for mitral balloon valvotomy. Atrial septal aneurysms were diagnosed by TTE and TEE in 2 and 3 patients, respectively. All 3 patients underwent mitral balloon valvotomy via the transseptal route. The foramen ovale was found to be patent in 2 of these patients, thus rendering puncture of the interatrial septum unnecessary. In the 3rd patient transseptal catheterisation was performed through the wall of the aneurysm itself. There were no significant complications in any of these patients. No left-to-right interatrial shunting could be demonstrated by oximetry in any of the 3 patients. Transoesophageal colour flow imaging showed trivial shunting in 2 patients and none in the 3rd. Transseptal mitral balloon valvotomy can be performed safely in patients with atrial septal aneurysms, especially in those with co-existent patent foramen ovale.
Authors:
D Rittoo; G R Sutherland; T R Shaw
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cardiology     Volume:  88     ISSN:  0008-6312     ISO Abbreviation:  Cardiology     Publication Date:    1997 May-Jun
Date Detail:
Created Date:  1997-06-27     Completed Date:  1997-06-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  1266406     Medline TA:  Cardiology     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  300-4     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Western General Hospital, Edinburgh, UK.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aneurysm / complications,  therapy*,  ultrasonography
Balloon Dilatation / methods*
Echocardiography, Transesophageal / methods
Heart Atria* / ultrasonography
Heart Catheterization
Heart Septal Defects / complications,  ultrasonography
Heart Septum* / ultrasonography
Humans
Middle Aged
Mitral Valve

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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