PERCUTANEOUS MITRAL VALVULOPLASTY is a well-established procedure for the treatment
of mitral stenosis.
1
More recently, percutaneous mitral valve repair and replacement (PMVR) procedures
have been performed for both mitral stenosis and regurgitation, and offer a less invasive
approach for high risk patients.
1
,
2
,
3
,
4
,
5
,
6
,
7
The typical approach to PMVR is transapical through the left ventricular apex as
it provides a more direct delivery of the valve.
8
,
9
However, the mitral valve also can be repaired or replaced via a trans-septal approach.
3
,
4
,
5
,
6
,
7
,
10
,
11
One complication of trans-septal procedures is a residual iatrogenic atrial septal
defect (iASD).
3
,
4
,
5
,
6
,
7
,
8
,
9
,
10
,
11
,
12
Key Words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Cardiothoracic and Vascular AnesthesiaAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Guidelines on the management of the valvular heart disease (version 2012).Eur Heart J. 2012; 33: 2451-2496
- EAE/ASE recommendations for the use of echocardiography in new transcatheter interventions for valvular heart disease.J Am Soc Echocardiogr. 2011; 24: 937-965
- Immediate closure of iatrogenic ASD after Mitra-Clip procedure prompted by acute right ventricular dysfunction.J Cardiothorac Vasc Anesth. 2017; 31: 1304-1307
- Postinterventional iatrogenic atrial septal defect with hemodynamically relevant left-to-right and right-to-left shunt as a complication of successful percutaneous mitral valve repair with the MitraClip.Int J Cardiol. 2013; 168: e3-e5
- Iatrogenic atrial septal defect (iASD) after MitraClip system delivery: The key role of the PaO2/FiO2 ratio guiding post-procedural iASD closure.Int J Cardiol. 2015; 197: 85-86
- Prevalence and echocardiographic features of iatrogenic atrial septal defect after catheter-based mitral valve repair with the MitraClip system.Catheter Cardiovasc Interv Off J Soc Card Angiogr Interv. 2012; 80: 678-685
- Hemodynamic patterns of residual intertribal communication after transcatheter MitraClip repair.J Cardiovasc Med. 2014; 15: 343-349
- Transcatheter valve implantation in failed surgically inserted bioprosthesis.JACC Cardiovasc Imaging. 2015; 8: 960-979
- Transapical transcatheter valve-in-valve implantation for deteriorated mitral valve bioprostheses.Ann Thorac Surg. 2013; 95: 111-118
- Percutaneous mitral valve replacement using a transvenous, trans-septal approach. Transvenous mitral valve replacement.J Am Coll Cardiol Cardiovascular Interventions. 2015; 8: 850-857
- Percutaneous complete repair of failed mitral valve prothesis simultaneous closure of mitral paravalvular leaks and transcatheter mitral valve implantation- single-center experience.EuroIntervention. 2015; 10: 1-2
- Pulmonary arterial hypertension.Anesthesiology. 2003; 99: 1415-1432
- The management of acute pulmonary arterial hypertension.Cardiovascular Therapeutics. 2011; 29: 153-175
- Pulmonary hypertension due to left heart disease.Circulation. 2012; 126: 975-990
- Pulmonary hypertension and right ventricular dysfunction: Physiology and perioperative management.J Cardiothorac Vasc Anesth. 2011; 25: 687-704
- Pulmonary hypertension due to left heart diseases.J Am Coll Cardiol. 2013; 62: D100-D108
- The additive pulmonary vasodilatory effects of inhaled prostacyclin and inhaled milrinone in post cardiac surgery patients with pulmonary hypertension.Anesth Analg. 2001; 93: 1439-1445
- A multicentre randomized-controlled trial of inhaled Milrinone in high-risk cardiac surgical patients.Can J Anaesth. 2016; 63: 1140-1153
- Aerosolized vasodilators for the treatment of pulmonary hypertension in cardiac surgical patients: A systemic review and meta-analysis.Anesth Analg. 2017; 125: 393-402
- Inhaled but not intravenous milrinone prevents pulmonary endothelial dysfunction after cardiopulmonary bypass.J Thorac Cardiovasc Surg. 2005; 130: 83-92
- A comparison of inhaled nitric oxide and Milrinone for the treatment of pulmonary hypertension in adults cardiac surgery patients.J Cardiothorac Vasc Anesth. 2000; 14: 12-17
- 5-year experience with transcatheter transapical mitral valve-in-valve implantation for bioprosthetic valve dysfunction.J Am Coll Cardiol. 2013; 61: 1759-1766
- Transcatheter valve-in-ring implantation after failure of surgical mitral repair.Eur J Cardiothorac Surg. 2013; 44: e8-e15
- Role of echocardiography in percutaneous mitral valve interventions.JACC Cardiovasc Imaging. 2012; 5: 733-746
- Echocardiographic and hemodynamic characteristics of atrial septal defects created by percutaneous valvuloplasty.J Am Soc Echocardiogr. 1990; 3: 64-71
- Assessment of left-to-right atrial shunting after percutaneous mitral valvuloplasty by transesophageal color Doppler flow-mapping.Circulation. 1989; 80: 1521-1526
- Clinical significance of small left-to-right shunts after percutaneous mitral valvuloplasty.Am Heart J. 1993; 125: 783-786
- Mechanisms of hypoxemia.Lung India. 2017; 34: 47-60
- Mechanisms of hypoxemia.Respir Care Clin N Am. 2000; 6: 501-521
- Right-to-left shunt with hypoxemia in pulmonary hypertension.BMC Cardiovasc Disord. 2009; 10: 1-14
- Hypoxia and cyanosis due to unusual right-to-left shunt in a patient with an atrial septal defect.J Cardiovasc Dis Diag. 2015; 3: 1-3
- Anesthesia for congenital heart surgery.in: Davis P.J. Cladis F.P. Smith’s Anesthesia for Infants and Children, 9th edition. Elsevier, Philadelphia, PA2017: 633-698
- Pulmonary hypertension caused by pulmonary venous hypertension.Pulm Circ. 2014; 4: 581-595
- Inhaled alternatives to nitric oxide.Anesthesiology. 2002; 96: 1504-1513
- Differences in characteristics, left atrial reverse remodeling, and functional outcomes after mitral valve replacement in patients with low-gradient very severe mitral stenosis.J Am Soc Echocardiogr. 2016; 29: 759-767
- Fatal hypoxemia following mitral valve replacement.Ann Thorac Surg. 1988; 46: 104-105
- Gas exchange detection of exercise-induced right-to-left shunt in patients with primary pulmonary hypertension.Circulation. 2002; 105: 54-60
- The effect of phenylephrine and norepinephrine in patients with chronic pulmonary hypertension.Anesthesia. 2002; 57: 9-14
- Norepinephrine and phenylephrine effects on right ventricular function in experimental canine pulmonary embolism.Chest. 1991; 100: 796-801
- Treatment of low cardiac output complicating acute pulmonary hypertension in normovolemic goats.Critical Care Medicine. 1986; 14: 120-124
- Treatment of canine pulmonary hypertension: Effects of norepinephrine and isoproterenol on pulmonary vascular pressure-flow characteristics.Circulation. 1987; 75: 235-242
- The effects of dopamine and epinephrine on hemodynamics and oxygen metabolism in hypoxic anesthetized piglets.Critical Care. 2001; 5: 158-166
- Prostaglandin E1: A new therapy for refractory right heart failure and pulmonary hypertension after mitral valve replacement.J Thorac Cardiovasc Surg. 1985; 89: 567-572
- Inhaled nitric oxide versus intravenous vasodilators in severe pulmonary hypertension after cardiac surgery.Anesth Analg. 1999; 89: 1108-1115
- Nitroglycerin therapy in the management of pulmonary hypertensive disorders.Am J Medicine. 1984; 76: 67-75
- Acute hemodynamic effects of nitroglyercin in pulmonary hypertension.Ann Intern Med. 1983; 99: 9-13
- Aerosolized prostacyclin versus inhaled nitric oxide in children with severe acute respiratory distress syndrome.Anesthesiologist. 1995; 82: 1507-1511
- Selective pulmonary vasodilation with inhaled aerosilized Milrinone in heart transplant candidates.Can J Anesthesia. 2005; 52: 1076-1082
- Preliminary experience with inhaled milrinone in cardiac surgery.Eur J Cardiothorac Surg. 2007; 31: 1081-1087
Article info
Publication history
Published online: March 08, 2018
Identification
Copyright
© 2018 Elsevier Inc. All rights reserved.
