Yüksel İsa Öner, Küçükseymen Selçuk, Çağırcı Göksel, Arslan Şakir
Department of Cardiology, Antalya Training and Research Hospital, Antalya, Turkey.
Turk Kardiyol Dern Ars. 2014 Dec;42(8):747-50. doi: 10.5543/tkda.2014.82026.
Percutaneous mitral balloon valvuloplasty (PMBV) is the primary treatment in mitral stenosis patients with appropriate valve anatomy with no contraindications present. Pericardial effusion, cardiac tamponade and thrombus formation are rare but serious complications of this procedure. In the literature, the mortality rate associated with PMBV has been reported as 1%. The presence of intracardiac thrombus is a contraindication for PMBV. However, thrombus formation during the process is a very rare condition. In this case, we present a patient with rheumatic mitral stenosis, with both pericardial effusion and intracardiac thrombus, after laseration at the base of the left atrium during the valvuloplasty procedure.
经皮球囊二尖瓣成形术（PMBV）是二尖瓣狭窄且瓣膜解剖结构合适、无禁忌证患者的主要治疗方法。心包积液、心脏压塞和血栓形成是该手术罕见但严重的并发症。文献报道，与PMBV相关的死亡率为1%。心内血栓的存在是PMBV的禁忌证。然而，术中血栓形成是一种非常罕见的情况。在此病例中，我们报告了一名风湿性二尖瓣狭窄患者，在瓣膜成形术过程中左心房底部激光消融后出现了心包积液和心内血栓。
