Percutaneous mitral valve repair with MitraClip XTR for acute mitral regurgitation due to papillary muscle rupture
| Autor: | Joseph E. Ebinger, Jeffrey Tyler, Mamoo Nakamura, Luke Oakley, Ryan Narbutas |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Surgical repair
medicine.medical_specialty Mitral regurgitation Ejection fraction business.industry MitraClip Cardiogenic shock medicine.medical_treatment Case Report 030204 cardiovascular system & hematology medicine.disease 03 medical and health sciences 0302 clinical medicine Internal medicine Cardiology medicine Extracorporeal membrane oxygenation cardiovascular system 030212 general & internal medicine Myocardial infarction cardiovascular diseases Cardiology and Cardiovascular Medicine business Percutaneous Mitral Valve Repair |
| Zdroj: | J Cardiol Cases |
| Popis: | Papillary muscle rupture is an infrequent and highly morbid mechanical complication of acute myocardial infarction. Surgical repair or replacement is traditionally considered first-line therapy. However, many of these patients present in extremis with prohibitively high surgical risk. Repair of mitral regurgitation with the MitraClip device (Abbot Vascular, Menlo Park, CA, USA) is an established therapy to treat degenerative and functional mitral regurgitation. We present a case of successful repair of severe mitral regurgitation due to papillary muscle rupture in the setting of acute myocardial infarction. A two-clip strategy resulted in mild residual mitral regurgitation with resolution of cardiogenic shock and refractory hypoxemia requiring veno-venous extracorporeal membrane oxygenation. Six-month follow-up echocardiogram identified durable results with mild mitral regurgitation and left ventricular ejection fraction of 63 %. Our case demonstrates that percutaneous mitral valve repair with MitraClip is a well-tolerated procedure that can provide acute and long-term benefit for patients with acute mitral regurgitation due to papillary muscle rupture who are at prohibitively high surgical risk. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|