Mitral valve repair in papillary muscle rupture
| Autor: | Umar Imran Hamid, Rezan Aksoy, Peyman Sardari Nia |
|---|---|
| Přispěvatelé: | MUMC+: MA Med Staf Spec CTC (9), RS: Carim - V04 Surgical intervention |
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Keynote Lecture Series
ACUTE MYOCARDIAL-INFARCTION PROLAPSE SURGERY LONG-TERM SURVIVAL REGURGITATION POSTINFARCTION RUPTURE neochordae CHORDAE TENDINEAE REPLACEMENT mitral valve repair Papillary muscle rupture (PMR) mitral clip cardiovascular system Materials Chemistry cardiovascular diseases Cardiology and Cardiovascular Medicine myocardial infarction (MI) |
| Zdroj: | Annals of Cardiothoracic Surgery, 11(3), 281-289. AME Publishing Company Ann Cardiothorac Surg |
| ISSN: | 2225-319X |
| Popis: | Papillary muscle rupture (PMR) is a significant mechanical complication following myocardial infarction (MI), a condition associated with a high mortality. It results in severe mitral valve regurgitation (MR), often accompanied by cardiogenic shock and pulmonary edema, requiring both emergent medical treatment and surgical intervention. Surgical treatment includes either chordal sparing mitral valve replacement or mitral valve repair, which is associated with a high mortality. Mitral valve repair is believed to be superior to mitral valve replacement with respect to improving left ventricular function, albeit with risk of repair failure and resulting in increased cross clamp times. Concomitant coronary revascularization may improve both short- and long-term outcomes after surgery. With advances in medical innovations in the field of transcatheter devices, these devices may serve as a bridge to recovery or treatment in the setting of acute MR due to PMR. However, long-term data will be required to establish the non-inferiority of one treatment modality over the other. Management of these patients should be guided by a dedicated mitral heart team. |
| Databáze: | OpenAIRE |
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