Percutaneous mitral valve repair in patients developing severe mitral regurgitation early after an acute myocardial infarction: A review

被引：4

作者：

Estevez-Loureiro, Rodrigo ^{[1
]}

Tavares Da Silva, Marta ^{[1
]}

Antonio Baz-Alonso, Jose ^{[1
]}

Caneiro-Queija, Berenice ^{[1
]}

Barreiro-Perez, Manuel ^{[1
]}

Calvo-Iglesias, Francisco ^{[1
]}

Gonzalez-Ferreiro, Rocio ^{[1
]}

Puga, Luis ^{[1
]}

Pinon, Miguel ^{[2
]}

Iniguez-Romo, Andres ^{[1
]}

机构：

[1] Univ Vigo, Univ Hosp Alvaro Cunqueiro, Galicia Sur Hlth Res Inst IIS Galicia Sur, Dept Cardiol,Cardiovasc Res Grp,Serv Galego Saude, Vigo, Spain

[2] Univ Hosp Alvaro Cunqueiro, Dept Cardiovasc Surg, Vigo, Spain

来源：

FRONTIERS IN CARDIOVASCULAR MEDICINE | 2022年 / 9卷

关键词：

mitral regurgitation; myocardial infarction; transcatheter mitral valve (MV) repair; cardiogenic shock (CS); MitraClip (R); PAPILLARY-MUSCLE RUPTURE; CORONARY INTERVENTION; MECHANICAL COMPLICATIONS; PROGNOSTIC-SIGNIFICANCE; FOLLOW-UP; OUTCOMES; SURGERY; ECHOCARDIOGRAPHY; PREDICTORS; TRIAL;

D O I：

10.3389/fcvm.2022.987122

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Acute mitral regurgitation (MR) may develop in the setting of an acute myocardial infarction (AMI) because of papillary muscle dysfunction or rupture. Severe acute MR in this scenario is a life-threatening complication associated with hemodynamic instability and pulmonary edema, and has been linked to a worse prognosis even after reperfusion. Patients treated solely with medical therapy have the highest mortality rates. Surgery has been the only treatment strategy until recently, but the results of the technique are hindered by high rates of morbidity and mortality. Therefore, the development of less invasive interventions for correcting MR would be ideal. We aimed to review the current role of transcatheter interventions in this clinical setting.

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页数：9

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