title: Atrial Septal Defect Closure for Right-to-Left Shunting Following a MitraClip Repair.
abstract: Percutaneous repair of the mitral valve has been widely adopted for the treatment of primary, symptomatic severe mitral regurgitation in patients at prohibitive risk for surgical intervention. We present a case of an elderly female patient with moderate-to-severe mitral regurgitation who underwent MitraClip procedure, with postprocedural course remarkable for the development of right-to-left shunting and hypoxia, for which the patient underwent a percutaneous repair of the atrial septal defect with immediate recovery of oxygen saturation.
authors: Subhi J
authors: SJ
authors: Al'Aref
authors: Geoffrey
authors: G
authors: Bergman
authors: Greenberg Cardiology Division, Director, Cardiac Catheterization Laboratory, Weill Medical College of Cornell University, 525 East 68th Street, Starr-4, New York, NY 10021 USA. scwong@med.cornell.edu.
authors: S Chiu
authors: SC
authors: Wong
mesh_terms: D000369:Aged, 80 and over; D006328:Cardiac Catheterization / Q000379:methods*; D003131:Combined Modality Therapy / Q000379:methods; D017548:Echocardiography, Transesophageal / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery*; D011300:Preoperative Care / Q000379:methods; D018570:Risk Assessment; D055989:Septal Occluder Device; D016896:Treatment Outcome