An unusual complication after mitral valve repair

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dc.contributor.authorKabwe, Lorritaen_ZA
dc.contributor.authorWeich, Hellmuthen_ZA
dc.contributor.authorPecoraro, Alfonsoen_ZA
dc.date.accessioned2021-11-04T11:51:27Z
dc.date.available2021-11-04T11:51:27Z
dc.date.issued2019
dc.descriptionCITATION: Kabwe, L., Weich, H. & Pecoraro, A. 2019. An unusual complication after mitral valve repair. SA Heart Journal, 16(1):50-51. doi:10.24170/16-1-3416.
dc.descriptionThe original publication is available at https://www.journals.ac.za/index.php/SAHJ/index
dc.description.abstractENGLISH ABSTRACT: A 22-year-old lady presented to the outpatient department with new onset dyspnoea and effort intolerance. She had a prior history of successful mitral valve repair 5 years previously for symptomatic severe mitral regurgitation, secondary to myxomatous mitral valve prolapse. Clinical examination revealed an undisplaced apex with a parasternal heave (suggestive of right ventricular hypertrophy) and a soft ejection systolic murmur in the pulmonary area. On review of her previous echocardiograms, the pre-surgery apical 4 chamber (Figure 1A) revealed a dilated left ventricle and atrium with normal right heart chambers. Her post-operative echocardiogram (Figure 1B) confirmed successful mitral valve repair with a reduction in left ventricular size and normal right ventricle. A review of her echocardiogram (Figure 1C) at this visit, revealed new right ventricle dilatation with features of diastolic overload. No evidence of tricuspid/pulmonary incompetence was found. Transoesophageal echocardiography (Figure 1D) confirmed a large atrial septal defect (ASD). We concluded that this was an iatrogenic ASD as a complication of mitral valve repair. The ASD was closed percutaneously with an amplatzer device (see online publication for video supplement).en_ZA
dc.description.urihttps://www.journals.ac.za/index.php/SAHJ/article/view/3416
dc.description.versionPublisher’s version
dc.format.extent2 pagesen_ZA
dc.identifier.citationKabwe, L., Weich, H. & Pecoraro, A. 2019. An unusual complication after mitral valve repair. SA Heart Journal, 16(1):50-51. doi:10.24170/16-1-3416.
dc.identifier.issn2071-4602 (online)
dc.identifier.issn1996-6741 (print)
dc.identifier.otherdoi:10.24170/16-1-3416
dc.identifier.urihttp://hdl.handle.net/10019.1/123363
dc.language.isoen_ZAen_ZA
dc.publisherSouth African Heart Associationen_ZA
dc.rights.holderSA Heart Journalen_ZA
dc.subjectCardiologyen_ZA
dc.subjectMitral valve repairen_ZA
dc.subjectDyspneaen_ZA
dc.titleAn unusual complication after mitral valve repairen_ZA
dc.typeArticleen_ZA
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