Stroke Following Successful PTMC in a Patient with Severe Mitral Stenosis: A Case Report and Presenting A Simple Stepwise Approach to PTMC-related Stroke

Author:

Namazi Mohammad H.1,Khaheshi Isa1,Kaveh Alireza1,Taherian Fatemeh2,Naderian Mohammadreza3,Tabary Mohammadreza4

Affiliation:

1. Cardiovascular Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2. Department of Neurology, Iran University of Medical Sciences, Tehran, Iran

3. Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran

4. School of Medicine, Tehran University of Medical Sciences, Tehran, Iran

Abstract

Stroke following percutaneous trans-septal mitral commissurotomy (PTMC) is an unusual complication that could significantly affect the quality of life of the patients, particularly the young and active ones. We present a middle-aged woman who experienced stroke following PTMC and successfully treated with thrombolytic therapy regarding the potential adverse effects of this type of therapy. Also, we present a simple novel stepwise clinical approach for PTMC-related stroke.

Publisher

Bentham Science Publishers Ltd.

Subject

Cardiology and Cardiovascular Medicine,Pharmacology,Hematology,Molecular Medicine,General Medicine

Reference25 articles.

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2. Rahman F.; Akhter N.; Anam K.; Rashid M.A.; Uddin M.J.; Ahmed C.M.; Safiuddin M.; Rahman M.M.; Hafiz M.G.; Banerjee S.K.; Haque K.S.; Balloon mitral valvuloplasty: immediate and short term haemodynamic and clinical outcome. Mymensingh Med J 2010,19(2),199-207

3. Vahanian A.; Palacios I.F.; Percutaneous approaches to valvular disease. Circulation 2004,109(13),1572-1579

4. Huff J.S.; Stroke mimics and chameleons. Emerg Med Clin North Am 2002,20(3),583-595

5. Libman R.B.; Wirkowski E.; Alvir J.; Rao T.H.; Conditions that mimic stroke in the emergency department. Implications for acute stroke trials. Arch Neurol 1995,52(11),1119-1122

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