Transcatheter edge-to-edge mitral valve repair for post-myocardial infarction papillary muscle rupture and acute heart failure: A systematic review

被引:4
作者
Cali, Filippo [1 ]
Pagnesi, Matteo [1 ]
Pezzola, Elisa [1 ]
Montisci, Andrea [2 ]
Metra, Marco [1 ]
Adamo, Marianna [1 ]
机构
[1] Univ Brescia, ASST Spedali Civili Brescia, Dept Med & Surg Specialties, Radiol Sci & Publ Hlth,Div Cardiol, Piazzale Spedali Civili Brescia 1, I-25123 Brescia, Italy
[2] ASST Spedali Civili Brescia, Div Cardiothorac Intens Care, Brescia, Italy
关键词
Acute mitral regurgitation; acute myocardial infarction; mitral transcatheter edge-to-edge repair; papillary muscle rupture; ACUTE MYOCARDIAL-INFARCTION; CARDIOGENIC-SHOCK; SURGICAL-CORRECTION; REGURGITATION; SURGERY; OUTCOMES; COMPLICATION; DIAGNOSIS; SECONDARY; PATIENT;
D O I
10.1002/ccd.30682
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Papillary muscle rupture (PMR) is a rare complication of acute myocardial infarction (AMI) associated with high mortality and morbidity. Surgery is the gold-standard treatment for these patients, but it is burdened by a high perioperative risk due to hemodynamic instability. Mitral transcatheter edge-to-edge repair (M-TEER) was reported to be safe and effective in unstable patients with significant mitral regurgitation. However, data in patients with post-AMI PMR are limited to a few case reports. In this review, we summarized all data available regarding percutaneous treatment of post-AMI PMR. These results show that M-TEER is safe and effective in this setting with low in-hospital mortality and complications and high rate of significant mitral regurgitation reduction.
引用
收藏
页码:138 / 144
页数:7
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