Key result
Percutaneous closure of an iatrogenic atrial septal defect guided by pressure-volume-loop assessment led to dramatic clinical improvement from NYHA class III-IV to I-II within days.
Why the study?
Does pressure-volume-loop-guided closure of an iatrogenic atrial septal defect improve symptoms and hemodynamics in a patient with right heart failure following MitraClip implantation?
Case Report (n=1)
Does pressure-volume-loop-guided closure of an iatrogenic atrial septal defect improve symptoms and hemodynamics in a patient with right heart failure following MitraClip implantation?
Pressure-volume-loop assessment can help identify patients who will benefit from closure of an iatrogenic atrial septal defect following MitraClip implantation without increasing pulmonary artery pressures.
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Case of RV failure post-MitraClip iASD illustrates potential hemodynamic risks; leaves open net benefit of closure and warrants prospective evaluation.
Roeder et al. (2016) conducted a case report in Right heart failure following MitraClip implantation with iatrogenic atrial septal defect (n=1). Percutaneous closure of iatrogenic atrial septal defect guided by pressure-volume-loop assessment was evaluated on Clinical and hemodynamic improvement. Percutaneous closure of an iatrogenic atrial septal defect guided by pressure-volume-loop assessment led to dramatic clinical improvement from NYHA class III-IV to I-II within days.
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