{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T06:05:03Z","timestamp":1773900303240,"version":"3.50.1"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2022,9,16]],"date-time":"2022-09-16T00:00:00Z","timestamp":1663286400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"U. N. Mehta Institute of Cardiology and Research Centre"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,10,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Percutaneous balloon mitral valvuloplasty (PBMV) using an Accura balloon is an effective method for management of rheumatic mitral stenosis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>Herein, we present a case of a 43-year-old female, who had undergone a previous PBMV, who presented with very severe mitral re-stenosis with Type Ia left atrial (LA) clot, in atrial fibrillation and New York Heart Association functional Class III. We used the modified septal puncture and over-the-wire technique, avoiding inadvertent manipulation of the LA clot for PBMV. The mitral valve was successfully dilated from 0.9 to 1.5\u2005cm2, and the patient had an uneventful post-procedure recovery.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>The presence of LA clot and mitral re-stenosis in a previously intervened valve are considered unfavourable characteristics for a PBMV procedure, and patients are usually advised surgical intervention. These patients are also high-risk candidates for surgery due to late presentation with advanced disease and poor functional capacity. Our patient underwent successful re-intervention with PBMV despite having suboptimal characteristics.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytac374","type":"journal-article","created":{"date-parts":[[2022,9,16]],"date-time":"2022-09-16T08:08:01Z","timestamp":1663315681000},"source":"Crossref","is-referenced-by-count":1,"title":["Re-intervention percutaneous balloon mitral valvuloplasty in a patient with left atrial appendage thrombus: a case report"],"prefix":"10.1093","volume":"6","author":[{"given":"Rujuta","family":"Parikh","sequence":"first","affiliation":[{"name":"Department of Cardiology, U. N. Mehta Institute of Cardiology and Research Centre (UNMICRC) , Civil Hospital Campus, Asarwa, Ahmedabad 380016, Gujarat , India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gaurav","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Cardiology, U. N. Mehta Institute of Cardiology and Research Centre (UNMICRC) , Civil Hospital Campus, Asarwa, Ahmedabad 380016, Gujarat , India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashish","family":"Mishra","sequence":"additional","affiliation":[{"name":"Department of Cardiology, U. N. Mehta Institute of Cardiology and Research Centre (UNMICRC) , Civil Hospital Campus, Asarwa, Ahmedabad 380016, Gujarat , India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5866-2566","authenticated-orcid":false,"given":"Kamal","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Cardiology, U. N. Mehta Institute of Cardiology and Research Centre (UNMICRC) , Civil Hospital Campus, Asarwa, Ahmedabad 380016, Gujarat , India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,9,16]]},"reference":[{"key":"2022100813054135300_ytac374-B1","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1093\/eurheartj\/ehab395","article-title":"2021 ESC\/EACTS guidelines for the management of valvular heart disease: developed by the task force for the management of valvular heart disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS)","volume":"43","author":"Vahanian","year":"2022","journal-title":"Eur Heart J"},{"key":"2022100813054135300_ytac374-B2","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1007\/BF02598304","article-title":"Predictors of left atrial thrombus in mitral valve disease","volume":"6","author":"Davison","year":"1991","journal-title":"J Gen Intern Med"},{"key":"2022100813054135300_ytac374-B3","first-page":"358","article-title":"Prevalence of left atrial thrombus in rheumatic mitral stenosis with atrial fibrillation and its response to anticoagulation: a transesophageal echocardiographic study","volume":"55","author":"Srimannarayana","year":"2003","journal-title":"Indian Heart J"},{"key":"2022100813054135300_ytac374-B4","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1002\/ccd.22176","article-title":"Balloon mitral valvotomy in patients with mitral stenosis and left atrial thrombus","volume":"74","author":"Manjunath","year":"2009","journal-title":"Catheter Cardiovasc Interv"},{"key":"2022100813054135300_ytac374-B5","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1111\/j.1540-8175.2010.01361.x","article-title":"Incidence and predictors of left atrial thrombus in patients with rheumatic mitral stenosis and sinus rhythm: a transesophageal echocardiographic study","volume":"28","author":"Manjunath","year":"2011","journal-title":"Echocardiography"},{"key":"2022100813054135300_ytac374-B6","doi-asserted-by":"crossref","first-page":"1088","DOI":"10.1136\/hrt.2004.034959","article-title":"Mitral balloon valvotomy and left atrial thrombus","volume":"91","author":"Shaw","year":"2005","journal-title":"Heart"},{"key":"2022100813054135300_ytac374-B7","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1016\/0735-1097(95)00481-5","article-title":"Functional results 5 years after successful percutaneous mitral commissurotomy in a series of 528 patients and analysis of predictive factors","volume":"27","author":"Iung","year":"1996","journal-title":"J Am Coll Cardiol"},{"key":"2022100813054135300_ytac374-B8","doi-asserted-by":"crossref","first-page":"1945","DOI":"10.1016\/j.jcin.2018.05.039","article-title":"Very long term follow-up after percutaneous balloon mitral valvuloplasty","volume":"11","author":"Meneguz-Moreno","year":"2018","journal-title":"JACC Cardiovasc Interv"},{"key":"2022100813054135300_ytac374-B9","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1016\/j.ihj.2013.12.007","article-title":"Patient profile and results of percutaneous transvenous mitral commissurotomy in mitral restenosis following prior percutaneous transvenous mitral commissurotomy vs surgical commissurotomy","volume":"66","author":"Sharma","year":"2014","journal-title":"Indian Heart J"},{"key":"2022100813054135300_ytac374-B10","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/S0735-1097(99)00176-X","article-title":"Is redo percutaneous mitral balloon valvuloplasty (PMV) indicated in patients with post-PMV mitral restenosis?","volume":"34","author":"Pathan","year":"1999","journal-title":"J Am Coll Cardiol"},{"key":"2022100813054135300_ytac374-B11","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/j.ihj.2020.06.003","article-title":"Study of immediate and late effects of successful PTMC on left atrial appendage function in patients with severe rheumatic mitral stenosis IN SINUS rhythm","volume":"72","author":"Ansari","year":"2020","journal-title":"Indian Heart J"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/advance-article-pdf\/doi\/10.1093\/ehjcr\/ytac374\/45881641\/ytac374.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/6\/10\/ytac374\/46393122\/ytac374.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/6\/10\/ytac374\/46393122\/ytac374.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,8]],"date-time":"2022-10-08T13:38:02Z","timestamp":1665236282000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytac374\/6701825"}},"subtitle":[],"editor":[{"given":"Sameh","family":"Shaheen","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Luis Antonio","family":"Moreno-Ruiz","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Livia","family":"Gheorge","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Reshma","family":"Amin","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Fabienne","family":"Vervaat","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2022,9,16]]},"references-count":11,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2022,10,8]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytac374","relation":{},"ISSN":["2514-2119"],"issn-type":[{"value":"2514-2119","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,10,1]]},"published":{"date-parts":[[2022,9,16]]},"article-number":"ytac374"}}