Neuro-embolic protection during percutaneous balloon mitral valvuloplasty.
This report describes the management of a patient with severe symptomatic mitral stenosis and a large mobile thrombus extending from the left atrial appendage that was resistant to warfarin therapy. Percutaneous balloon mitral valvuloplasty was performed with cerebral protection using bilateral internal carotid artery filters to minimize the risk of embolic stroke.
Blake
J W H
JW
Division of Cardiology, Cardiology Department, William Beaumont Hospital, Royal Oak, Michigan 48073, USA. jwblake@beaumont.edu
Hanzel
G S
GS
O'Neill
W W
WW
D000368:Aged; D002343:Carotid Artery, Internal; D002404:Catheterization / Q000009:adverse effects / Q000379:methods*; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000150:complications / Q000000981:diagnostic imaging; D020878:Device Removal; D017548:Echocardiography, Transesophageal; D005260:Female; D005374:Filtration / Q000295:instrumentation*; D006801:Humans; D020766:Intracranial Embolism / Q000209:etiology / Q000517:prevention & control*; D008946:Mitral Valve Stenosis / Q000150:complications / Q000628:therapy*