Pulmonary Vein Thrombus After Mitral Valve Transcatheter Edge-to-Edge Repair

A 76-year-old female with a complicated medical history presented for Watchman (Boston Scientific) placement 2 months after mitral valve transcatheter edge-to-edge repair (TEER). Preoperative workup before Watchman placement confirmed the presence of a thrombus in the left superior pulmonary vein. P...

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Bibliographic Details
Published in:Methodist DeBakey cardiovascular journal 2024, Vol.20 (1), p.65-69
Main Authors: Rana, Aakash, Xu, Jack, McMunn, Jedidiah, Manam, Rupesh
Format: Article
Language:English
Subjects:
Aged
Cardiac Catheterization - adverse effects
Cardiac Catheterization - instrumentation
Echocardiography, Transesophageal
Female
Heart Valve Prosthesis Implantation - adverse effects
Heart Valve Prosthesis Implantation - instrumentation
Humans
Mitral Valve - diagnostic imaging
Mitral Valve - surgery
Mitral Valve Insufficiency - diagnostic imaging
Mitral Valve Insufficiency - etiology
Mitral Valve Insufficiency - physiopathology
Mitral Valve Insufficiency - surgery
Pulmonary Veins - diagnostic imaging
Pulmonary Veins - surgery
Treatment Outcome
Venous Thrombosis - diagnostic imaging
Venous Thrombosis - etiology
Venous Thrombosis - surgery
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Summary:A 76-year-old female with a complicated medical history presented for Watchman (Boston Scientific) placement 2 months after mitral valve transcatheter edge-to-edge repair (TEER). Preoperative workup before Watchman placement confirmed the presence of a thrombus in the left superior pulmonary vein. Post-procedure mitral valve TEER transesophageal echocardiogram showed no thrombus in the left atrium appendage or pulmonary veins. We believe the thrombus in the left superior pulmonary vein occurred secondarily due to epithelium damage during the mitral valve TEER.
ISSN:1947-6108
1947-6108
DOI:10.14797/mdcvj.1428