Left atrial thrombosis after percutaneous mitral valvuloplasty: resolution with conservative management.
We report the detection of a thrombus 72 hours after mitral valvuloplasty through the use of the technique of Inoue. Images obtained by transesophageal echocardiography revealed its localization on the interatrial septum at the level of the transseptal puncture. Although the patient subsequently underwent surgery for the placement of a prosthetic valve in mitral position due to failure of the valvuloplasty, the thrombus resolved with conservative management.
Roldán
F J
FJ
Department of Echocardiography, Instituto Nacional de Cardiología "Ignacio Chávez," Juan Badiano No. 1, Tlalpan, 14080 México, DF, Mexico.
Vargas-Barrón
J
J
Ríos
M A
MA
Espinola-Zavaleta
N
N
Keirns
C
C
Romero-Cárdenas
A
A
D000208:Acute Disease; D002404:Catheterization / Q000009:adverse effects*; D015150:Echocardiography, Doppler / Q000379:methods; D017548:Echocardiography, Transesophageal; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006325:Heart Atria / Q000000981:diagnostic imaging; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000628:therapy; D015912:Thrombolytic Therapy; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*
D005343:Fibrinolytic Agents