Key result
Percutaneous mitral balloon valvuloplasty in a 54-year-old male with rheumatic mitral stenosis was complicated by a left atrial roof laceration leading to pericardial effusion and thrombus formation.
Case Report (n=1)
This case highlights the rare but serious complications of pericardial effusion and intracardiac thrombus formation during percutaneous mitral balloon valvuloplasty.
Clinicians should remain vigilant for left atrial roof laceration during percutaneous mitral balloon valvuloplasty; a single case leaves incidence and management open.
Percutaneous mitral balloon valvuloplasty (PMBV) is the primary treatment in mitral stenosis patients with appropriate valve anatomy with no contraindications present. Pericardial effusion, cardiac tamponade and thrombus formation are rare but serious complications of this procedure. In the literature, the mortality rate associated with PMBV has been reported as 1%. The presence of intracardiac thrombus is a contraindication for PMBV. However, thrombus formation during the process is a very rare condition. In this case, we present a patient with rheumatic mitral stenosis, with both pericardial effusion and intracardiac thrombus, after laseration at the base of the left atrium during the valvuloplasty procedure.
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İsa Öner Yüksel (2014) conducted a case report in Rheumatic mitral stenosis (n=1). Percutaneous mitral balloon valvuloplasty was evaluated on Procedural complications. Percutaneous mitral balloon valvuloplasty in a 54-year-old male with rheumatic mitral stenosis was complicated by a left atrial roof laceration leading to pericardial effusion and thrombus formation.
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