Iatrogenic Atrial Septal Defect Closure Following Mitral Transcatheter Edge-to-Edge Repair

Transcatheter edge-to-edge repair has revolutionized the management of mitral regurgitation in the high surgical-risk population. Iatrogenic atrial septal defects (iASDs) are an obligatory consequence of the procedure. The long-term sequelae of persistent iASDs are unknown but are believed to be dep...

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Bibliographic Details
Published inJACC. Case reports Vol. 3; no. 3; pp. 357 - 360
Main Authors Shetty, Mrinali, Lampert, Mark B., Levisay, Justin, Erwin, John P., Ricciardi, Mark J.
Format Journal Article
LanguageEnglish
Published Elsevier Inc 01.03.2021
Elsevier
Subjects
cardiomyopathy
chronic heart failure
echocardiography
right ventricle
systolic heart failure
three-dimensional imaging
valve repair
GDMT
MR
valve repair
echocardiography
systolic heart failure
chronic heart failure
LV
right ventricle
TEE
three-dimensional imaging
iASD
TEER
cardiomyopathy
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Summary:Transcatheter edge-to-edge repair has revolutionized the management of mitral regurgitation in the high surgical-risk population. Iatrogenic atrial septal defects (iASDs) are an obligatory consequence of the procedure. The long-term sequelae of persistent iASDs are unknown but are believed to be dependent on their size, directionality of flow, and underlying hemodynamics. We discuss an uncommon scenario of a post–transcatheter edge-to-edge repair iASD that required immediate closure. (Level of Difficulty: Intermediate.) [Display omitted]
ISSN:2666-0849
2666-0849
DOI:10.1016/j.jaccas.2020.12.009