Alonso R, Rangel A, Baduí E, Enciso R, Murillo H, Carrillo A
Departamento de Hemodinamia, Hospital de Especialidades, Centro Médico La Raza IMSS, México, D.F.
Arch Inst Cardiol Mex. 1996 Sep-Oct;66(5):423-8.
We present the case of a 36 years-old woman, in whom antegrade mitral intraluminal valvulotomy was performed under transesophageal echocardiography control. Inadvertently, we retired the Inoue's catheter to the right atrium from the left atrium, before the dilation of the mitral valve was accomplished. Under echocardiographic control we reintroduced the transseptal catheter across the former septal orifice, avoiding a new septal puncture, and its possible complications. Now a days, the antegrade intraluminal mitral valvulotomy is easy performed, because the transesophageal echocardiography monitoring. The transesophageal echocardiography has modified the transseptal catheterization contraindications.
我们报告了一例36岁女性患者的病例，该患者在经食管超声心动图引导下进行了二尖瓣腔内顺行瓣膜切开术。在二尖瓣扩张完成之前，我们不小心将Inoue导管从左心房退回到了右心房。在超声心动图引导下，我们通过先前的房间隔穿刺口重新插入了经房间隔导管，避免了再次进行房间隔穿刺及其可能的并发症。如今，由于有经食管超声心动图监测，二尖瓣腔内顺行瓣膜切开术很容易实施。经食管超声心动图改变了经房间隔导管插入术的禁忌证。
