| Autor: |
Ronco D; S.C. Cardiochirurgia e Trapianto di Cuore, Dipartimento Cardiotoracovascolare, ASST Grande Ospedale Metropolitano Niguarda, Milano., Matteucci M; S.C. Cardiochirurgia, Dipartimento Cardio-Toraco-Vascolare, ASST dei Sette Laghi, Varese., Massimi G; S.C. Cardiochirurgia, Azienda Ospedaliera Santa Maria, Terni., Lodo V; S.C. Cardiochirurgia, Azienda Ospedaliera Ordine Mauriziano, Torino., Garis S; S.C. Cardiochirurgia, Dipartimento Cardio-Toraco-Vascolare, ASST dei Sette Laghi, Varese., Scarantino A; S.C. Cardiochirurgia, Dipartimento Cardio-Toraco-Vascolare, ASST dei Sette Laghi, Varese., Messina C; S.C. Cardiochirurgia, Dipartimento Cardio-Toraco-Vascolare, ASST dei Sette Laghi, Varese., Francica A; U.O.C. Cardiochirurgia, AOUI Verona., Russo M; U.O.C. Cardiochirurgia e Trapianti di Cuore, Azienda Ospedaliera San Camillo Forlanini, Roma., Lorusso R; Department of Cardiothoracic Surgery, Maastricht University Medical Centre, Maastricht, Paesi Bassi., Barili F; Dipartimento di Scienze Biomediche e Cliniche, Università degli Studi, Milano - U.O. Cardiochirurgia Universitaria, IRCCS Ospedale Galeazzi Sant'Ambrogio, Milano., Parolari A; Dipartimento di Scienze Biomediche per la Salute, Università degli Studi, Milano - U.O. Cardiochirurgia Universitaria e Ricerca Traslazionale, IRCCS Policlinico San Donato, San Donato Milanese (MI). |
| Abstrakt: |
Left ventricular free wall rupture, ventricular pseudoaneurysm, papillary muscle rupture and ventricular septal rupture are life-threatening mechanical complications of acute myocardial infarction. Despite significant improvements over the last decades in overall mortality for patients with myocardial infarction, the outcome of subjects who develop post-infarction mechanical complications remains poor. Surgical treatment is considered the standard of care. However, percutaneous approaches (such as pericardial fibrin-glue injection for left ventricular free wall rupture, transcatheter edge-to-edge mitral repair for papillary muscle rupture and device closure for ventricular pseudoaneurysm or septal rupture) have been proposed in selected high-risk or inoperable patients, or in subjects with ideal characteristics for feasibility, as therapeutic alternatives to open surgery. The aim of the present review is to provide a comprehensive overview of the percutaneous strategies for the management of post-acute myocardial infarction mechanical complications. |
