Accura balloon tamponade to successfully treat right common iliac vein perforation — an unconventional use
Streszczenie
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.
Słowa kluczowe: balloon tamponademitral stenosispercutaneous mitral valvotomypregnancyvascular disruption