Transseptal puncture guided by intracardiac echocardiography during percutaneous transvenous mitral commissurotomy in patients with distorted anatomy of the fossa ovalis

Catheter Cardiovasc Interv. 2000 Aug;50(4):463-7. doi: 10.1002/1522-726x(200008)50:4<463::aid-ccd21>3.0.co;2-e.

Abstract

Positioning of the transseptal needle during percutaneous transvenous mitral commissurotomy (PTMV) can become a difficult and risky procedure when distortion of the interatrial septum exists. We present two cases where intracardiac echocardiography (ICE) facilitated the transseptal puncture in the presence of bulging of the fossa ovalis into the right atrium.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Cardiac Catheterization
  • Catheterization / methods*
  • Echocardiography / methods*
  • Endosonography*
  • Female
  • Heart Septal Defects, Atrial / complications*
  • Heart Septal Defects, Atrial / diagnostic imaging
  • Heart Septum / diagnostic imaging
  • Heart Septum / surgery*
  • Humans
  • Male
  • Mitral Valve Stenosis / diagnostic imaging
  • Mitral Valve Stenosis / therapy*
  • Punctures*