Overestimation of severity of mitral stenosis during cardiac catheterization due to a large left atrial thrombus.
We report a case of mitral stenosis with a large left atrial thrombus which was obstructing pulmonary venous inflow where the conventional use of the pulmonary capillary wedge pressure as an approximation of the left atrial pressure during diagnostic cardiac catheterisation led to the over-estimation of the severity of mitral stenosis.
Soo
C S
CS
Cardiac Department, National University Hospital, Singapore.
Choo
M H
MH
Lee
C N
CN
Tay
M
M
Mestres
C A
CA
Lim
M
M
D000368:Aged; D016279:Atrial Function, Left / Q000502:physiology; D001794:Blood Pressure; D006328:Cardiac Catheterization; D005260:Female; D006325:Heart Atria; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000473:pathology*; D006801:Humans; D008943:Mitral Valve / Q000473:pathology; D008946:Mitral Valve Stenosis / Q000000981:diagnostic imaging / Q000473:pathology*; D011669:Pulmonary Wedge Pressure; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000473:pathology*; D014463:Ultrasonography