Ruptured chordae during percutaneous mitral commissurotomy: immediate recognition by intracardiac echocardiography

Traditionally, percutaneous mitral commissurotomy (PMC) is performed under fluoroscopy only. In difficult cases, general anesthesia with transesophageal echocardiography (TEE) guidance is needed. Intracardiac echocardiography (ICE) enables operators to perform PMC under local anesthesia while provid...

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Veröffentlicht in:	The Journal of invasive cardiology 2023-07, Vol.35 (7), p.E394
Hauptverfasser:	Ho, Cheuk Bong, Wong, Ivan, Chun, Alan Chan Ka, Chan, Kam Tim, Lee, Michael
Format:	Artikel
Sprache:	eng
Schlagworte:	Atrial Appendage - diagnostic imaging Cardiac Catheterization - methods Echocardiography, Transesophageal - methods Fluoroscopy Humans Treatment Outcome Ultrasonography, Interventional - methods
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Beschreibung
Zusammenfassung:	Traditionally, percutaneous mitral commissurotomy (PMC) is performed under fluoroscopy only. In difficult cases, general anesthesia with transesophageal echocardiography (TEE) guidance is needed. Intracardiac echocardiography (ICE) enables operators to perform PMC under local anesthesia while providing intra-procedural imaging guidance, as in TEE. Hereby, we describe a case of PMC guided by ICE to allow early detection of complications.
ISSN:	1557-2501 1557-2501
DOI:	10.25270/jic/22.00364