{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T03:22:37Z","timestamp":1740108157708,"version":"3.37.3"},"reference-count":5,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2022,2,7]],"date-time":"2022-02-07T00:00:00Z","timestamp":1644192000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,2,7]],"date-time":"2022-02-07T00:00:00Z","timestamp":1644192000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100018936","name":"Universit\u00e4tsklinikum Heidelberg","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100018936","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Internist"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Atriumseptumdefekte (ASD) im Rahmen eines endovaskul\u00e4ren Mitralklappenclippings sind potenziell h\u00e4modynamisch relevante Komplikationen. Ein sofortiger Verschluss mittels Okkluder kann eine sichere und effektive Therapie darstellen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Fallzusammenfassung<\/jats:title>\n                <jats:p>Eine 81-j\u00e4hrige Patientin mit schwerer Dyspnoe bei vorbekannter hochgradiger Mitralklappeninsuffizienz wurde zum elektiven Mitralklappenclipping vorgestellt. Die Clipimplantation verlief komplikationslos. Nach Entfernung der transseptalen Schleuse kam es zu einem pl\u00f6tzlichen Abfall der Sauerstoffs\u00e4ttigung und des Blutdrucks sowie zu einem sofortigen Anstieg des zentralen Venendrucks. Es zeigte sich ein iatrogener Links-rechts-Shunt auf Vorhofebene mit relevantem Shuntvolumen. Daraufhin erfolgte der sofortige Verschluss mittels Vorhofseptumokkluder, was zu einer unmittelbaren Besserung der Kreislaufparameter und der Sauerstoffs\u00e4ttigung f\u00fchrte.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Ein Anstieg des zentralen Venendrucks, ein Blutdruckabfall oder S\u00e4ttigungsabfall nach R\u00fcckzug der transseptalen steuerbaren Schleuse im Rahmen des Mitralklappenclippings sollte bez\u00fcglich eines m\u00f6glichen ASD abgekl\u00e4rt werden.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00108-021-01241-4","type":"journal-article","created":{"date-parts":[[2022,2,7]],"date-time":"2022-02-07T12:03:01Z","timestamp":1644235381000},"page":"448-452","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Abfall von Sauerstoffs\u00e4ttigung und Blutdruck sowie Anstieg des zentralen Venendrucks im Rahmen eines Mitralklappenclippings bei einer 81-J\u00e4hrigen","Drop in oxygen saturation and blood pressure as well as increase in central venous pressure during mitral valve clipping in an 81-year-old female patient"],"prefix":"10.1007","volume":"63","author":[{"given":"Martin J.","family":"Volz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Aurich","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathias","family":"Konstandin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hugo A.","family":"Katus","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norbert","family":"Frey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael M.","family":"Kreusser","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip W.","family":"Raake","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,2,7]]},"reference":[{"issue":"3","key":"1241_CR1","doi-asserted-by":"publisher","first-page":"450","DOI":"10.1016\/j.jcin.2014.10.024","volume":"8","author":"R Schueler","year":"2015","unstructured":"Schueler\u00a0R, \u00d6zt\u00fcrk\u00a0C, Wedekind\u00a0JA, Werner\u00a0N, St\u00f6ckigt\u00a0F, Mellert\u00a0F, Nickenig\u00a0G, Hammerstingl\u00a0C (2015) Persistence of iatrogenic atrial septal defect after interventional mitral valve repair with the MitraClip system: a\u00a0note of caution. JACC Cardiovasc Interv 8(3):450\u2013459. https:\/\/doi.org\/10.1016\/j.jcin.2014.10.024","journal-title":"JACC Cardiovasc Interv"},{"issue":"4","key":"1241_CR2","doi-asserted-by":"publisher","first-page":"1304","DOI":"10.1053\/j.jvca.2017.02.034","volume":"31","author":"L Yeh","year":"2017","unstructured":"Yeh\u00a0L, Mashari\u00a0A, Montealegre-Gallegos\u00a0M, Mujica\u00a0F, Jeganathan\u00a0J, Mahmood\u00a0F (2017) Immediate closure of iatrogenic ASD after Mitraclip procedure prompted by acute right ventricular dysfunction. J\u00a0Cardiothorac Vasc Anesth 31(4):1304\u20131307. https:\/\/doi.org\/10.1053\/j.jvca.2017.02.034","journal-title":"J Cardiothorac Vasc Anesth"},{"issue":"9","key":"1241_CR3","first-page":"E80","volume":"28","author":"SJ Al\u2019Aref","year":"2016","unstructured":"Al\u2019Aref\u00a0SJ, Bergman\u00a0G, Wong\u00a0SC (2016) Atrial septal defect closure for right-to-left shunting following a\u00a0Mitraclip repair. J\u00a0Invasive Cardiol 28(9):E80\u2013E81","journal-title":"J Invasive Cardiol"},{"key":"1241_CR4","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1016\/j.ijcard.2015.06.026","volume":"197","author":"MA Losi","year":"2015","unstructured":"Losi\u00a0MA, Strisciuglio\u00a0T, Stabile\u00a0E, Castellano\u00a0G, de Amicis\u00a0V, Saccenti\u00a0A, Maresca\u00a0G, Santoro\u00a0C, Izzo\u00a0R, Barbato\u00a0E, Esposito\u00a0G, Trimarco\u00a0B, Rapacciuolo\u00a0A (2015) Iatrogenic atrial septal defect (iASD) after MitraClip system delivery: The key role of PaO2\/FiO2 ratio in guiding post-procedural iASD closure. Int J Cardiol 197:85\u201386. https:\/\/doi.org\/10.1016\/j.ijcard.2015.06.026","journal-title":"Int J Cardiol"},{"issue":"1","key":"1241_CR5","doi-asserted-by":"publisher","first-page":"e3","DOI":"10.1016\/j.ijcard.2013.05.018","volume":"168","author":"M Huntgeburth","year":"2013","unstructured":"Huntgeburth\u00a0M, M\u00fcller-Ehmsen\u00a0J, Baldus\u00a0S, Rudolph\u00a0V (2013) Postinterventional iatrogenic atrial septal defect with hemodynamically relevant left-to-right and right-to-left shunt as a\u00a0complication of successful percutaneous mitral valve repair with the MitraClip. Int J Cardiol 168(1):e3\u2013e5. https:\/\/doi.org\/10.1016\/j.ijcard.2013.05.018","journal-title":"Int J Cardiol"}],"container-title":["Der Internist"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00108-021-01241-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00108-021-01241-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00108-021-01241-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,25]],"date-time":"2022-03-25T08:03:40Z","timestamp":1648195420000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00108-021-01241-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,7]]},"references-count":5,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,4]]}},"alternative-id":["1241"],"URL":"https:\/\/doi.org\/10.1007\/s00108-021-01241-4","relation":{},"ISSN":["0020-9554","1432-1289"],"issn-type":[{"type":"print","value":"0020-9554"},{"type":"electronic","value":"1432-1289"}],"subject":[],"published":{"date-parts":[[2022,2,7]]},"assertion":[{"value":"13 December 2021","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 February 2022","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"M.J.\u00a0Volz, M.\u00a0Aurich, M.\u00a0Konstandin, H.A.\u00a0Katus, N.\u00a0Frey, M.M.\u00a0Kreusser und P.W.\u00a0Raake geben an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien. F\u00fcr Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts, \u00fcber die Patienten zu identifizieren sind, liegt von ihnen und\/oder ihren gesetzlichen Vertretern eine schriftliche Einwilligung vor.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}