Unusual interatrial membrane in the left atrium: A newer obstacle for transseptal-based percutaneous mitral valve repair techniques?

Echocardiography. 2017 Sep;34(9):1379-1381. doi: 10.1111/echo.13597. Epub 2017 Jun 13.

Abstract

We present a case of a patient with severe mitral regurgitation referred to our Institution for an echocardiographic examination as part of the routine workup to assess the eligibility for mitral valve percutaneous repair with either the MitraClip or Cardioband systems. Echocardiography showed the presence of an unusual interatrial membrane in the left atrium that represented a contraindication for the puncture of the interatrial septum. The patient was finally deferred to percutaneous mitral valve replacement using transapical access.

Keywords: atrial septal defect; echocardiography; mitral regurgitation; mitral valve; mitral valve repair; percutaneous intervention.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Atrial Septum / diagnostic imaging
  • Atrial Septum / surgery*
  • Cardiac Catheterization / methods*
  • Cardiac Surgical Procedures / methods*
  • Echocardiography, Doppler, Color
  • Echocardiography, Transesophageal
  • Heart Atria / diagnostic imaging*
  • Heart Septal Defects, Atrial / complications
  • Heart Septal Defects, Atrial / diagnosis
  • Heart Septal Defects, Atrial / surgery*
  • Humans
  • Male
  • Mitral Valve
  • Mitral Valve Insufficiency / diagnosis
  • Mitral Valve Insufficiency / etiology
  • Mitral Valve Insufficiency / surgery*