Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
5962106 | Indian Heart Journal | 2014 | 4 Pages |
Abstract
Percutaneous Transseptal Mitral Commissurotomy (PTMC) has replaced surgical commissurotomy as a treatment of choice in selected patients of rheumatic mitral stenosis. Various randomized trials have shown PTMC to be equal or superior to surgical commissurotomy in terms of hemodynamic improvement as well as long term survival. Systemic embolism is one of the dreaded complications of PTMC, which is reported in 0.5-5% of cases and involves cerebral circulation in 1% of cases. Most of the time, periprocedural embolism during PTMC is caused by the mobilization of preexisting thrombus in the left atrial appendage. We report an unusual case of acute stroke due embolization of mitral valve tissue during PTMC.
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Authors
Sudhir S. Shetkar, Neeraj Parakh, Birdevender Singh, N.K. Mishra, Ruma Ray, Ganesan Karthikeyan, Rakesh Yadav, Kewal C. Goswami,