Chasing Complications of Balloon Mitral Valvotomy
Shivakumar Bhairappa
Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Rajiv Gandhi University of Health Sciences, Jayanagar 9th Block, BG Road, Bangalore 560069, India
Prakash Sadashivappa Surhonne
Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Rajiv Gandhi University of Health Sciences, Jayanagar 9th Block, BG Road, Bangalore 560069, India
Shankar Somanna
Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Rajiv Gandhi University of Health Sciences, Jayanagar 9th Block, BG Road, Bangalore 560069, India
Rohit Chopra *
Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Rajiv Gandhi University of Health Sciences, Jayanagar 9th Block, BG Road, Bangalore 560069, India
Cholenhally Nanjappa Manjunath
Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Rajiv Gandhi University of Health Sciences, Jayanagar 9th Block, BG Road, Bangalore 560069, India
*Author to whom correspondence should be addressed.
Abstract
Percutaneous balloon mitral valvotomy (BMV) done for mitral stenosis (MS) though largely improved nowadays can be followed by multiple and rare procedure related complications. We present an interesting case of a 45 year old male with symptomatic severe mitral stenosis of rheumatic origin. Ultimately, though he underwent a successful BMV it was ridden with multiple rare procedure related complications. Intra procedural perforation of left atrium with hemopericardium and pericardial tamponade occurred in the first attempt at BMV while rupture of BMV balloon, multiple clots in left atrium (LA) after the procedure and a large pericardial effusion occurred in the second albeit successful attempt. To the best of our knowledge this is the first case to report multiple LA clots post BMV.
Keywords: Left atrial clot, left atrial perforation, complications, tamponade