Provisional Closure of an Iatrogenic Atrial Septal Defect for Shunt Reversal After Transcatheter Treatment of Tricuspid Regurgitation

J Invasive Cardiol. 2019 Oct;31(10):E298-E299.

Abstract

We present a patient with severe TR who underwent transcatheter tricuspid valve repair (TTVR) using the MitraClip system, with the development of LR shunt through an iatrogenic ASD. Provisional occlusion of ASD after TTVR should be considered in patients with residual LR shunt and iatrogenic ASD.

Keywords: color Doppler TEE; iatrogenic ASD; shunt reversal.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Aged
  • Atrial Septum / diagnostic imaging
  • Atrial Septum / injuries*
  • Cardiac Catheterization / adverse effects*
  • Echocardiography, Transesophageal
  • Female
  • Follow-Up Studies
  • Heart Injuries / diagnosis
  • Heart Injuries / etiology
  • Heart Injuries / surgery*
  • Heart Valve Prosthesis Implantation / adverse effects*
  • Humans
  • Iatrogenic Disease
  • Postoperative Complications / diagnosis
  • Postoperative Complications / etiology
  • Postoperative Complications / surgery*
  • Reoperation / methods
  • Septal Occluder Device*
  • Tricuspid Valve Insufficiency / diagnosis
  • Tricuspid Valve Insufficiency / surgery*