scholarly journals Transapical valvuloplasty for correction of severe mitral stenosis with arrhythmic repercussion in a pregnant woman: case report

2021 ◽  
pp. 1-4
Author(s):  
Beatriz Bodanese ◽  
Ana Borba ◽  
Valdir Lippi Júnior ◽  
Kátia Purim
Keyword(s):  
Atrial Fibrillation ◽  
Case Report ◽  
Pregnant Woman ◽  
Mitral Valve ◽  
Gestational Age ◽  
Mitral Stenosis ◽  
Direct Access ◽  
Transseptal Puncture ◽  
Conventional Procedure ◽  
Complex Procedure

This report describes a therapeutic alternative for correction of severe mitral stenosis causing high-response atrial fibrillation, and consequent syncope in a woman at 8 weeks gestational age. A percutaneous valvuloplasty attempt failed, because the transseptal puncture was not possible, and a definitive resolution was achieved by transapical valvuloplasty, via left thoracotomy through an inframammary incision, with direct access to the mitral valve. Since this was an original and complex procedure, this case is of relevant importance in the treatment of severe mitral stenosis in patients whose conditions render a conventional procedure impossible.

scholarly journals Severe mitral stenosis with giant LA with LA thrombus - A case report

2018 ◽  
Vol 33 (2) ◽  
pp. 141-144
Author(s):  
Asraful Hoque ◽  
Shahriar Moinuddin ◽  
Md Monzur Hossain ◽  
Ahsanara Binte Ahmed ◽  
Ashfaq Nazmi ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Case Report ◽  
Mitral Valve ◽  
Left Atrium ◽  
Female Patient ◽  
Mitral Stenosis ◽  
Cardiac Insufficiency ◽  
Mitral Insufficiency ◽  
Permanent Atrial Fibrillation

Excess dilatation of the left atrium >60 mm is known in the literature as a gigantic atrium. This dilation is most commonly encountered in the mitral insufficiency of rheumatic etiology, but also in severe prolapses of the mitral valve, permanent atrial fibrillation, and at the leftright shunt with cardiac insufficiency. In this paper, we presented a case study of severe mitral stenosis with giant LA with LA thrombus in a 42 years old female patient. The patient underwent successful mitral valve replacement and removal of LA thrombus and discharged from the hospital with advice. Bangladesh Heart Journal 2018; 33(2) : 141-144

scholarly journals Ruptured Renal Artery Aneurysm in a Pregnant Woman: Case Report and Literature Review

2018 ◽  
Vol 41 (01) ◽  
pp. 062-064 ◽  
Author(s):  
Adriane Souza ◽  
Caio Ueda ◽  
Denise Matsubara ◽  
João Glir
Keyword(s):  
Case Report ◽  
Pregnant Woman ◽  
Literature Review ◽  
Renal Artery ◽  
Gestational Age ◽  
Artery Aneurysm ◽  
Renal Artery Aneurysm ◽  
Fetal Risk

AbstractRenal artery aneurysms (RAAs) are rare and usually asymptomatic; ∼ 90% of them are unilateral. Once diagnosed during pregnancy, they may rupture, presenting a high maternal-fetal risk. The present study reports the case of a 32-year-old pregnant woman with a 30-week gestational age and a ruptured unilateral RAA.

scholarly journals Giant Left Atrium in a case of Mitral stenosis with LA thrombus: A Case Report

2016 ◽  
Vol 9 (1) ◽  
pp. 73-74
Author(s):  
Jubayer Ahmad ◽  
Md Mokhlesur Rahman ◽  
Heemel Saha ◽  
Md Aftabuddin ◽  
Asit Baran Adhikary
Keyword(s):  
Case Report ◽  
Mitral Valve ◽  
Left Atrium ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Male Patient ◽  
Mitral Valve Disease ◽  
Mitral Stenosis ◽  
History Of ◽  
Giant Left Atrium

A 52 year-old male patient of severe MS with mild MR with AF with a giant left atrium (LA size 70 mm) and history of CMC presented with symptoms. Giant left atrium is a condition characterized by huge enlargement of the left atrium with a diameter exceeding 65mm. It is most commonly associated with long standing rheumatic mitral valve disease. The patient underwent successful mitral valve replacement and removal of LA thrombus and discharged from hospital with adviceCardiovasc. j. 2016; 9(1): 73-74

scholarly journals Case Report: Interatrial Thrombus in Left Atrial Septal Pouch Prohibiting Transseptal Puncture for Percutaneous Mitral Valve Therapy

CJC Open ◽  
2021 ◽  
Author(s):  
Muhammed Gerçek ◽  
Masathoshi. Hata ◽  
Jan Gummert ◽  
Volker Rudolph ◽  
Kai Peter Friedrichs
Keyword(s):  
Case Report ◽  
Mitral Valve ◽  
Left Atrial ◽  
Transseptal Puncture

scholarly journals Atrial fibrillation and early clinical outcomes after mitral valve surgery in patients with rheumatic vs. non-rheumatic mitral stenosis

Heart Views ◽  
2012 ◽  
Vol 13 (4) ◽  
pp. 136 ◽  
Author(s):  
SJ Mirhosseini ◽  
Sadegh Ali-Hassan-Sayegh ◽  
Mehdi Hadadzadeh ◽  
S. M. Y Mostafavi Pour Manshadi ◽  
Nafiseh Naderi
Keyword(s):  
Atrial Fibrillation ◽  
Mitral Valve ◽  
Clinical Outcomes ◽  
Mitral Stenosis ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Rheumatic Mitral Stenosis ◽  
Early Clinical Outcomes

Effect of atrial fibrillation and mitral regurgitation on calculated mitral valve area in mitral stenosis

1986 ◽  
Vol 57 (8) ◽  
pp. 634-638 ◽  
Author(s):  
Robert J. Bryg ◽  
George A. Williams ◽  
Arthur J. Labovitz ◽  
Umit Aker ◽  
Harold L. Kennedy
Keyword(s):  
Atrial Fibrillation ◽  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Mitral Stenosis ◽  
Mitral Valve Area ◽  
Valve Area

scholarly journals A rare case of vaginal sarcoma in pregnancy

2020 ◽  
Vol 9 (9) ◽  
pp. 3906
Author(s):  
Avinashi Kujur ◽  
Archana Roy ◽  
Suma Velgin Ekka ◽  
Divya Gupta
Keyword(s):  
Case Report ◽  
Pregnant Woman ◽  
Urinary Retention ◽  
Gestational Age ◽  
Rare Case ◽  
Rare Tumour ◽  
Vaginal Mass ◽  
Live Baby ◽  
In Pregnancy

Vaginal Sarcoma is an extremely rare tumour in pregnancy. Authors are presenting a case report of a pregnant woman who presented with vaginal mass and urinary retention at 32 weeks of gestational age. USG confirmed a live baby with possibility of cervical fibroid. Before further investigations for diagnosis of the mass her emergency LSCS has to be done. Histopathology and immunohistochemistry then confirmed sarcoma.

scholarly journals Double orifice mitral valve: A case report

2016 ◽  
Vol 73 (5) ◽  
pp. 496-499
Author(s):  
Ljilja Music ◽  
Bozidarka Knezevic ◽  
Ljiljana Jovovic ◽  
Nebojsa Bulatovic
Keyword(s):  
Case Report ◽  
Mitral Valve ◽  
Mitral Stenosis ◽  
Fibrous Tissue ◽  
Bundle Branch Block ◽  
Functional Changes ◽  
Mitral Orifice ◽  
Sport Activities ◽  
Double Orifice

Introduction. Double orifice mitrol valve (DOMV) is a very rare congenital heart defect. Case report. We reported 20-year-old male referred to our center due to evaluation of his cardiologic status. He was operated on shortly after birth for a tracheoesophageal fistula. Accidentally, echocardiography examination at the age of 4 years revealed double orifice mitral valve (DOMV) without the presence of mitral regurgitation, as well as mitral stenosis, with normal dimensions of all cardiac chambers. The patient was asymptomatic, even more he was a kick boxer. His physical finding was normal. Electrocardiography showed regular sinus rhythm, incomplete right bundle branch block. Transthoracic echocardiography (TTE) examination revealed the normal size of the left atrial, mitral leaflets were slightly more redundant. The left and right heart chambers, aorta, tricuspid valve and pulmonary artery valve were normal. During TTE examination on a short axis view two asymmetric mitral orifices were seen as a double mitral orifice through which we registered normal flow, without regurgitation and mitral stenosis. Transesophageal echocardiography (TEE) examination from the transgastric view at the level of mitral valve, showed 2 single asymmetric mitral orifices separated by fibrous tissue, mitral leaflet with a separate insertion of hordes for each orifice. Conclusion. The presented patient with DOMV is the only one recognized in our country. The case is interesting because during 16-year a follow-up period there were no functional changes despite the fact that he performed very demanded sport activities. This is very important because there is no information in the literature about that.

scholarly journals Left Atrial Thrombus Resolution Using Unfractionated Heparin and Warfarin in a Patient with Mitral Stenosis

2019 ◽  
Vol 40 (3) ◽  
Author(s):  
Zainuddin Zainuddin ◽  
Endang Ratnaningsiah ◽  
Andika Rizki Lubis ◽  
Sebastian Andi Manurung ◽  
Tike Hari Pratikto ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Case Report ◽  
Unfractionated Heparin ◽  
Mitral Stenosis ◽  
Left Atrial ◽  
Oral Anticoagulant Therapy ◽  
Neurological Deficits ◽  
Left Atrial Thrombus ◽  
Atrial Thrombus ◽  
Diastolic Phase

Abstract Background:  Though the use of Low Molecular Weight Heparin (LMWH) in general is preferred due to its convenient and eliminates the need for activated Partial Thromboplastin Time ( aPTT) monitoring but Unfractionated Heparin (UFH) is still widely used in clinical setting due to its availability and low price. Besides UFH, the use of oral anticoagulant therapy with warfarin, has been the standard therapy for the prevention of thromboembolism in patients with AF. Our aim is to report a case of the resolution of left atrial thrombus in a patient with mitral stenosis. Case Illustration:  A Case report of a female patient aged 54 years who admitted with a sudden neurological deficits and mitral stenosis with atrial fibrillation.  Transthoracal Echocardiography (TTE) showed mobile thrombus which moved and obstructed the mitral valve during diastolic phase. Unfractionated heparin (UFH) was administered 3000 unit bolus intravenously and maintained with 600 unit per hour with the combination of warfarin 2 mg for five days. TTE evaluation showed the resolution of LA thrombus.  Conclusion : The administration of the combination of UFH and warfarin had successfully caused  resolution of  the LA thrombus and prevented the patient from surgical intervention. This case report indicated that Unfractionated Heparin and Warfarin were still the treatments option in LA thrombus patients with mitral stenosis and atrial fibrillation.   Key words :Left atrial thrombus, unfractionated heparin, thrombus resolution    

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