Non-compliant left atrium masquerading as severe mitral regurgitation on cardiac catheterisation haemodynamics

  • Philasande Mkoko Division of Cardiology Department of Medicine Faculty of Health Sciences University of Cape Town
  • Blanche Cupido Division of Cardiology Department of Medicine Faculty of Health Sciences University of Cape Town

Abstract

A prominent v wave on a capillary wedge or left atrial pressure tracings classically signify significant mitral regurgitation. However, infiltrative disease involving the left atrium and left atrial scar from prior catheter ablation or Maze procedures, may produce a similar waveform due to noncompliance of the left atrium.
Published
2020-04-30
Section
Image in Cardiology