An unusual complication after mitral valve repair
dc.contributor.author | Kabwe, Lorrita | en_ZA |
dc.contributor.author | Weich, Hellmuth | en_ZA |
dc.contributor.author | Pecoraro, Alfonso | en_ZA |
dc.date.accessioned | 2021-11-04T11:51:27Z | |
dc.date.available | 2021-11-04T11:51:27Z | |
dc.date.issued | 2019 | |
dc.description | CITATION: Kabwe, L., Weich, H. & Pecoraro, A. 2019. An unusual complication after mitral valve repair. SA Heart Journal, 16(1):50-51. doi:10.24170/16-1-3416. | |
dc.description | The original publication is available at https://www.journals.ac.za/index.php/SAHJ/index | |
dc.description.abstract | ENGLISH ABSTRACT: A 22-year-old lady presented to the outpatient department with new onset dyspnoea and effort intolerance. She had a prior history of successful mitral valve repair 5 years previously for symptomatic severe mitral regurgitation, secondary to myxomatous mitral valve prolapse. Clinical examination revealed an undisplaced apex with a parasternal heave (suggestive of right ventricular hypertrophy) and a soft ejection systolic murmur in the pulmonary area. On review of her previous echocardiograms, the pre-surgery apical 4 chamber (Figure 1A) revealed a dilated left ventricle and atrium with normal right heart chambers. Her post-operative echocardiogram (Figure 1B) confirmed successful mitral valve repair with a reduction in left ventricular size and normal right ventricle. A review of her echocardiogram (Figure 1C) at this visit, revealed new right ventricle dilatation with features of diastolic overload. No evidence of tricuspid/pulmonary incompetence was found. Transoesophageal echocardiography (Figure 1D) confirmed a large atrial septal defect (ASD). We concluded that this was an iatrogenic ASD as a complication of mitral valve repair. The ASD was closed percutaneously with an amplatzer device (see online publication for video supplement). | en_ZA |
dc.description.uri | https://www.journals.ac.za/index.php/SAHJ/article/view/3416 | |
dc.description.version | Publisher’s version | |
dc.format.extent | 2 pages | en_ZA |
dc.identifier.citation | Kabwe, L., Weich, H. & Pecoraro, A. 2019. An unusual complication after mitral valve repair. SA Heart Journal, 16(1):50-51. doi:10.24170/16-1-3416. | |
dc.identifier.issn | 2071-4602 (online) | |
dc.identifier.issn | 1996-6741 (print) | |
dc.identifier.other | doi:10.24170/16-1-3416 | |
dc.identifier.uri | http://hdl.handle.net/10019.1/123363 | |
dc.language.iso | en_ZA | en_ZA |
dc.publisher | South African Heart Association | en_ZA |
dc.rights.holder | SA Heart Journal | en_ZA |
dc.subject | Cardiology | en_ZA |
dc.subject | Mitral valve repair | en_ZA |
dc.subject | Dyspnea | en_ZA |
dc.title | An unusual complication after mitral valve repair | en_ZA |
dc.type | Article | en_ZA |