ENDOVASCULAR VALVULOPLASTY IN A PATIENT WITH CRITICAL MITRAL STENOSIS AND MASSIVE LEFT ATRIAL THROMBOSIS
https://doi.org/10.17802/2306-1278-2018-7-3-134-139
Abstract
We are presenting a case of endovascular repair of critical mitral stenosis of rheumatic genesis complicated by decompensated congestive heart failure and massive thrombosis of the left atrium. According to the clinical status of the patient, the patient was found to be inoperable. Despite the extremely high risk of endovascular intervention, the patient underwent balloon mitral valvuloplasty using intracardial and transthoracic echocardiography. The analysis of technical and clinical aspects of the intervention and its results during the in-hospital period and a 9-month follow-up was performed. We concluded on the appropriateness of the chosen treatment strategy.
About the Authors
R. S. Tarasov
Federal State Budgetary Institution "Research Institute for Complex Issues of Cardiovascular Diseases".
Russian Federation
Russian Federation
Tarasov Roman S., MD, PhD, Head of the Laboratory of Reconstructive Surgery for Multivessel and Polyvascular Disease, Head of the Department of Cardiac Surgery.
6, Sosnovy Blvd., Kemerovo, 650002.
A. V. Protopopov
Regional Public Healthcare Institution "Krasnoyarsk Regional Clinical Hospital".
Russian Federation
Russian Federation
Protopopov Alexey V., PhD, Professor, Head.
3a, Partizana Zheleznyaka St., Krasnoyarsk, 660022.
N. S. Bokhan
Federal State Budgetary Institution "Research Institute for Complex Issues of Cardiovascular Diseases".
Russian Federation
Russian Federation
Bohan Nikita S., MD, arrhythmologist at the Department of Interventional Cardiology.
6, Sosnovy Blvd., Kemerovo, 650002.
O. A. Nagirnyak
Federal State Budgetary Institution "Research Institute for Complex Issues of Cardiovascular Diseases".
Russian Federation
Russian Federation
Nagirnyak Olga A., MD, PhD, cardiologist at the Department of Interventional Cardiology.
6, Sosnovy Blvd., Kemerovo, 650002.
I. N. Sizova
Federal State Budgetary Institution "Research Institute for Complex Issues of Cardiovascular Diseases".
Russian Federation
Russian Federation
Sizova Irina N., MD, PhD, researcher at the Laboratory of Ultrasound and Electrophysiological Methods of Diagnostics, cardiac sonographer.
6, Sosnovy Blvd., Kemerovo, 650002.
V. I. Ganyukov
Federal State Budgetary Institution "Research Institute for Complex Issues of Cardiovascular Diseases".
Russian Federation
Russian Federation
Ganyukov Vladimir I., PhD, Head of the Laboratory of Interventional Cardiology.
6, Sosnovy Blvd., Kemerovo, 650002.
References
1. Klinicheskie rekomendacii po vedeniyu, diagnostike i lecheniyu klapannyh porokov serdca. M.: Izd-vo NCSSKH im. A. N. Bakuleva RAMN; 2009. (In Russian)
2. Harb S.C., Griffin B.P. Mitral Valve Disease: a Comprehensive Review. // Curr Cardiol Rep. 2017 Aug; 19(8):73. doi: 10.1007/s11886-017-0883-5.
3. Torii S., Romero M.E., Mori H., Harari E., Kolodgie F.D., Finn A.V., Virmani R. The spectrum of mitral valve pathologies: relevance for surgical and structural interventions. Expert Rev Cardiovasc Ther. 2017 Jul;15(7):525-535. doi: 10.1080/14779072.2017.1348230.
4. Jaber W.A., Prior D.L., Thamilarasan M., Grimm R.A., Thomas J.D., Klein A.L., Asher C.R. Efficacy of anticoagulation in resolving left atrial and left atrial appendage thrombi: a transesophageal echocardiographic study. Am Heart J. 2000;140:150–6. DOI: 10.1067/mhj.2000.106648
5. Bonow R.O., Carabello B., de Leon A.C., Edmunds L.H. Jr, Fedderly B.J., Freed M.D. ACC/AHA guidelines for the management of patients with valvular heart disease: executive summary. A report of the American College of Cardiology/ American Heart Association task force on practice guidelines (committee on management of patients with valvular heart disease). J Heart Valve Dis. 1998 Nov;7(6):672-707.
6. Odarenko YU.N., Rutkovskaya N.V., Rogulina N.V., Stache A.N., Kokorin S.G., Kagan E.S.. Barbarash L.S. Analiz 23-letnego opyta ispol'zovaniya ksenoaortal'nyh ehpoksiobrabotannyh bioprotezov v hirurgii mitral'nyh porokov serdca. issledovanie faktorov recipienta s pozicij vliyaniya na razvitie kal'cievoj degeneracii. Kompleksnye problemy serdechno-sosudistyh zabolevanij. 2015;(4):17-25. (In Russian)
Review
For citations:
Tarasov R.S., Protopopov A.V., Bokhan N.S., Nagirnyak O.A., Sizova I.N., Ganyukov V.I. ENDOVASCULAR VALVULOPLASTY IN A PATIENT WITH CRITICAL MITRAL STENOSIS AND MASSIVE LEFT ATRIAL THROMBOSIS. Complex Issues of Cardiovascular Diseases. 2018;7(3):134-139. (In Russ.) https://doi.org/10.17802/2306-1278-2018-7-3-134-139
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