Management of thrombotic events secondary to cardiac interventions - Transient obstruction of the mitral valve by a massive thrombus complicating percutaneous valvuloplasty

Percutaneous transseptal mitral valvuloplasty was attempted in a patient wi th severe rheumatic mitral stenosis, Introduction of the balloon into the l eft atrium resulted in thrombotic occlusion of the mitral value. Circulator y arrest ensued, The thrombus was disrupted during cardiopulmonary resuscit ation, Thrombolysis was administered and the patient recovered uneventfully .