Late Outcome of a Left-Atrial-to-Coronary-Sinus Shunt

Mario D. Bassi,Kenza Rahmouni, Alexandros Nantsios,David Messika-Zeitoun,Benjamin Hibbert,Talal Al-Atassi,Vincent Chan

JACC: Case Reports（2023）

Cited 0|Views12

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Abstract

Frail patients with severe calcific mitral stenosis have few treatment options. We present a novel case successfully treated with a left-atrial-to-coronary-sinus shunt. However, the patient’s symptoms returned, and, at surgery, the shunt was found to be occluded and associated with left atrial and ventricular fibrosis and calcification. (Level of Difficulty: Intermediate.)

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Key words

coronary sinus shunt,heart failure,mitral annulus calcification,mitral regurgitation,mitral stenosis,valve fibrosis

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