open access

Vol 11, No 4 (2016)
Case Reports
Published online: 2016-09-13
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Accura balloon tamponade to successfully treat right common iliac vein perforation — an unconventional use

Santosh Kumar Sinha, Ramesh Thakur, Mukesh Jitendra Jha, Amit Goel, Mohit Sachan, Vikas Mishra, Ashutosh Kumar
DOI: 10.5603/FC.2016.0053
·
Folia Cardiologica 2016;11(4):330-333.

open access

Vol 11, No 4 (2016)
Case Reports
Published online: 2016-09-13

Abstract

Percutaneous mitral valvotomy is effective alternative for management of patients with symptomatic mitral stenosis in pregnant women. Gravid uterus may compress and distort inferior vena cava. Patients will have their abdomen shielded with lead sheets to limit fetal radiation exposure. We report a case of six month pregnant women with critical mitral stenosis suitable for PMV. During introduction of Mullins sheath into innominate vein, little resistance was encountered. We could not exactly ascertain the cause as abdomen shielded was there. Mullins sheath was reintroduced and procedure was completed. At the end sudden hypotension was detected with patient complaining of right hip pain. Venogram showed contrast extravasations from the right common iliac vein confirming iliac vein disruption. Accura balloon was placed across the perforated segment and inflated twice for 4 mints, sealing the perforation. This case shows that immediate treatment with balloon tamponade can result in a successful outcome.

Abstract

Percutaneous mitral valvotomy is effective alternative for management of patients with symptomatic mitral stenosis in pregnant women. Gravid uterus may compress and distort inferior vena cava. Patients will have their abdomen shielded with lead sheets to limit fetal radiation exposure. We report a case of six month pregnant women with critical mitral stenosis suitable for PMV. During introduction of Mullins sheath into innominate vein, little resistance was encountered. We could not exactly ascertain the cause as abdomen shielded was there. Mullins sheath was reintroduced and procedure was completed. At the end sudden hypotension was detected with patient complaining of right hip pain. Venogram showed contrast extravasations from the right common iliac vein confirming iliac vein disruption. Accura balloon was placed across the perforated segment and inflated twice for 4 mints, sealing the perforation. This case shows that immediate treatment with balloon tamponade can result in a successful outcome.

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Keywords

balloon tamponade, mitral stenosis, percutaneous mitral valvotomy, pregnancy, vascular disruption

About this article
Title

Accura balloon tamponade to successfully treat right common iliac vein perforation — an unconventional use

Journal

Folia Cardiologica

Issue

Vol 11, No 4 (2016)

Pages

330-333

Published online

2016-09-13

DOI

10.5603/FC.2016.0053

Bibliographic record

Folia Cardiologica 2016;11(4):330-333.

Keywords

balloon tamponade
mitral stenosis
percutaneous mitral valvotomy
pregnancy
vascular disruption

Authors

Santosh Kumar Sinha
Ramesh Thakur
Mukesh Jitendra Jha
Amit Goel
Mohit Sachan
Vikas Mishra
Ashutosh Kumar

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