Balaji Rohini Mayur, Dhananjaya Manasa, Thimmarayappa Ashwini
Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.
Ann Card Anaesth. 2019 Jul-Sep;22(3):318-320. doi: 10.4103/aca.ACA_54_18.
Percutaneous transvenous mitral commisurotomy (PTMC) is a frequently used minimally invasive procedure for patients with symptomatic mitral stenosis. However, it is not without complications. Few complications which are distinctive to the procedure are thromboembolism, left-to-right shunts, mitral regurgitation, cardiac tamponade and complete heart block. We present the case of a 32-year-old female patient scheduled for a PTMC, who had multiple complications during the procedure. She developed cardiac tamponade for which pericardiocentesis and autotransfusion was done. Subsequently she exhibited epileptiform activity for which there was a diagnostic dilemma due to the presence of multiple confounding factors. However, she had a complete recovery without any residual sequelae at the time of discharge.
经皮经静脉二尖瓣交界切开术（PTMC）是一种常用于有症状二尖瓣狭窄患者的微创治疗方法。然而，该手术并非没有并发症。该手术特有的并发症很少，包括血栓栓塞、左向右分流、二尖瓣反流、心脏压塞和完全性心脏传导阻滞。我们报告一例计划接受PTMC的32岁女性患者，该患者在手术过程中出现了多种并发症。她发生了心脏压塞，为此进行了心包穿刺和自体输血。随后，她出现癫痫样活动，由于存在多种混杂因素，诊断陷入困境。然而，她在出院时完全康复，没有任何残留后遗症。
