Spontaneous Healing Of Iatrogenic Left Atrial Dissection: A Rare Complication Of Mitraclip Therapy
Tsunamoto, H., Yamamoto, H., Takahashi, N., & Takaya, T. (2023). Spontaneous healing of iatrogenic left atrial dissection: a rare complication of MitraClip therapy. European heart journal. Case reports, 7(4), ytad182. https://doi.org/10.1093/ehjcr/ytad182
View Original Source →Case Details
Disease Location
Heart (mitral valve)
Personal Characteristics
80-year-old man, history of chronic atrial fibrillation (treated with warfarin)
Clinical Characteristics
Presented with heart failure due to massive atrial functional mitral regurgitation. Mitraclip therapy for afmr was elected. The clip-delivery system was posteriorly bent and the clip unintentionally contacted the posterior left atrial wall. Transoesophageal echocardiography (toe) revealed a banding structure attached to the left atrium, suggesting iatrogenic la dissection (latd)
Remission Characteristics
Follow-up toe after 6 months showed spontaneous healing of the iatrogenic latd
Treatment & Mechanisms
Clinical Treatment
Mitral clipping. Warfarin