Abstract
Percutaneous transseptal mitral valvuloplasty was attempted in a patient with severe rheumatic mitral stenosis. Introduction of the balloon into the left atrium resulted in thrombotic occlusion of the mitral valve. Circulatory arrest ensued. The thrombus was disrupted during cardiopulmonary resuscitation. Thrombolysis was administered and the patient recovered uneventfully.
MeSH terms
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Anticoagulants / therapeutic use
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Catheterization / adverse effects*
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Echocardiography, Transesophageal
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Female
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Heart Valve Diseases / etiology
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Heparin / therapeutic use
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Humans
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Middle Aged
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Mitral Valve Stenosis / diagnostic imaging
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Mitral Valve Stenosis / drug therapy
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Mitral Valve Stenosis / etiology
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Mitral Valve Stenosis / therapy*
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Mitral Valve* / diagnostic imaging
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Rheumatic Heart Disease / complications
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Thrombolytic Therapy*
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Thrombosis / diagnostic imaging
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Thrombosis / etiology*