Transcatheter mitral valve repair to treat postmyocardial infarction papillary muscle rupture

被引:4
|
作者
Hayek, Ahmad [1 ,2 ,3 ]
Grinberg, Daniel [4 ]
Derimay, Francois [3 ]
Bochaton, Thomas [1 ,2 ]
机构
[1] Claude Bernard Univ Lyon 1, Louis Pradel Hosp, Dept Emergency & Intens Care Unit, Lyon, France
[2] Claude Bernard Univ Lyon 1, Lyon, France
[3] Claude Bernard Univ, Cardiovasc Hosp, Dept Intervent Cardiol, Villebrumier, France
[4] Louis Pradel Cardiol Hosp, Dept Cardiac Surg, Lyon, France
关键词
MitraClip; mitral regurgitation; myocardial infarction; papillary muscle tear; percutaneous mitral repair;
D O I
10.4103/jcecho.jcecho_137_20
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 75-year-old man was admitted to the emergency department for a late-presenting myocardial infarction. The coronary angiography revealed a thrombotic occlusion of the circumflex artery. He presented a rapid hemodynamic and respiratory deterioration as a result of a severe mitral regurgitation with a flail anterior leaflet due to a partial tear of the medial papillary muscle (PM). Given the patient's comorbidities, a percutaneous mitral valve repair with two-dimensional (2D)/3D transesophageal echocardiography was performed, deploying two MitraClips. MitraClip implantation may be considered in an acute setting of PM tear as an alternative for surgical treatment in selected patients.
引用
收藏
页码:104 / 106
页数:3
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