|
| HOME | SUBSCRIPTIONS | CURRENT ISSUE | PAST ISSUES | CARDIOSOURCE | SEARCH | HELP | FEEDBACK |
|
|
|
|||||||||
|
|||||||||||
|
J Am Coll Cardiol, 1990; 16:1320-1322 © 1990 by the American College of Cardiology Foundation |
Department of Medicine, New York University Medical Center, New York.
Left atrial thrombi are common in patients with mitral stenosis. When percutaneous balloon mitral valvuloplasty is performed on such patients, there is a potential risk of thrombus dislodgment and embolization. In this study conventional transthoracic echocardiography and transesophageal echocardiography were performed for percutaneous balloon mitral valvuloplasty on 19 consecutive candidates (6 men, 13 women, 23 to 81 years old). In five patients (26%), transesophageal echocardiography revealed a left atrial thrombus; in only one of these was there a suspicion of left atrial thrombus on transthoracic echocardiography. Balloon mitral valvuloplasty was canceled in four of the five patients. Three underwent mitral valve surgery that confirmed the echocardiographic findings. Transesophageal echocardiography is better than conventional transthoracic echocardiography in detecting left atrial clots in candidates for balloon mitral valvuloplasty. Because of the potential risk of embolization, transesophageal echocardiography is recommended in all candidates for balloon mitral valvuloplasty.
This article has been cited by other articles:
|
|
 |
|
  N Sutaria, T R D Shaw, B Prendergast, and D Northridge Transoesophageal echocardiographic assessment of mitral valve commissural morphology predicts outcome after balloon mitral valvotomy Heart, January 1, 2006; 92(1): 52 - 57. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. A. Gomez-Hospital, A. Cequier, P. V. Romero, C. Canete, C. Ugartemendia, J. Mauri, and E. Esplugas Partial Improvement in Pulmonary Function After Successful Percutaneous Balloon Mitral Valvotomy Chest, March 1, 2000; 117(3): 643 - 648. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. M. Applebaum, R. R. Kasliwal, A. Kanojia, A. Seth, S. Bhandari, N. Trehan, H. E. Winer, P. A. Tunick, and I. Kronzon Utility of three-dimensional echocardiography during balloon mitral valvuloplasty J. Am. Coll. Cardiol., November 1, 1998; 32(5): 1405 - 1409. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. E. Peverill, R. W. Harper, J. Gelman, T. E. Gan, G. Harris, and J. J. Smolich Determinants of Increased Regional Left Atrial Coagulation Activity in Patients With Mitral Stenosis Circulation, August 1, 1996; 94(3): 331 - 339. [Abstract] [Full Text]
|
|
|
|
 |
|
 M. Demirtac, A. Usal, A. Birand, M. San, T. Batyraliev, and Z. Niyazova A Serious Complication of Percutaneous Mitral Valvuloplasty: Systemic Embolism. How Can We Decrease It? Case History Angiology, March 1, 1996; 47(3): 285 - 289. [Abstract] [PDF]
|
|
|
|
 |
|
 J. L. Blackshear and J. A. Odell Appendage Obliteration to Reduce Stroke in Cardiac Surgical Patients With Atrial Fibrillation Ann. Thorac. Surg., February 1, 1996; 61(2): 755 - 759. [Abstract] [Full Text]
|
|
|
|
 |
|
 W. G. Daniel and A. Mugge Transesophageal Echocardiography N. Engl. J. Med., May 11, 1995; 332(19): 1268 - 1280. [Full Text] [PDF]
|
|
| HOME | SUBSCRIPTIONS | CURRENT ISSUE | PAST ISSUES | CARDIOSOURCE | SEARCH | HELP | FEEDBACK |
