Extra cardiac perforation following failed percutaneous transvenous mitral commissurotomy

Sunil Kumar T. R.; Karthik Kumar; Aishwarya Mahesh Kumar

doi:10.18203/2349-2902.isj20231743

Authors

Sunil Kumar T. R. Department of Cardiothoracic and Vascular Surgery, Apollo Hospitals, Chennai, Tamil Nadu, India
Karthik Kumar Department of Cardiothoracic and Vascular Surgery, Apollo Hospitals, Chennai, Tamil Nadu, India
Aishwarya Mahesh Kumar Department of Medical Services, Apollo Hospitals, Chennai, Tamil Nadu, India https://orcid.org/0000-0002-8305-7744

DOI:

https://doi.org/10.18203/2349-2902.isj20231743

Keywords:

Rheumatic valvular heart disease, Severe mitral stenosis, Percutaneous transvenous mitral commissurotomy, Mitral valve replacement, Case report

Abstract

Percutaneous transvenous mitral commissurotomy (PTMC) is the procedure of choice for select patients with mitral valve disease who have favorable valve architecture and meet the requirements for balloon valve dilatation. Complications following PTMC are rare (<3%). A 56-year-old woman with rheumatic valvular heart disease, severe mitral stenosis and moderate mitral regurgitation in atrial fibrillation underwent elective PTMC. She developed an extra-cardiac perforation during PTMC because of abnormal catheter course, and underwent emergency mitral valve replacement with extra-cardiac perforation repair. Catheter-related complications following PTMC are rare but not unheard of. Prompt management of immediate complications result in favorable outcomes.

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