Publication Date
7-31-2024
Journal
The Texas Heart Journal
DOI
10.14503/THIJ-23-8337
PMID
9082220
Publication Date(s)
July-December 2024
Language
English
PMCID
PMC11289674
PubMedCentral® Posted Date
7-31-2024
PubMedCentral® Full Text Version
Post-Print
Published Open-Access
yes
Keywords
Humans, Iatrogenic Disease, Cardiac Catheterization, Heart Septal Defects, Atrial, Mitral Valve Insufficiency, Mitral Valve, Male, Aged, Echocardiography, Transesophageal, Female, Heart Valve Prosthesis Implantation, Heart Injuries, Treatment Outcome, Aged, 80 and over, Punctures
Copyright
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
Abstract
The evolution of percutaneous procedures that use transseptal puncture to treat left-sided structural heart disease has led to the emergence of iatrogenic atrial septal defects as a potential complication. These defects can result in hemodynamic decompensation and worsening clinical outcomes. Some iatrogenic atrial septal defects require immediate closure, others do not. This case report presents 2 patients who underwent transcatheter edge-to-edge mitral valve repair with transseptal puncture and required iatrogenic atrial septal defect closure (1 immediate and 1 delayed). The goal of this report is to highlight iatrogenic atrial septal defect assessment and the possible need for closure after transseptal puncture.