Edge-to-edge mitral valve repair for acute mitral valve regurgitation due to papillary muscle rupture: a case report

被引：28

作者：

Papadopoulos, Konstantinos ^{[1
]}

Chrissoheris, Michael ^{[1
]}

Nikolaou, Ioulia ^{[1
]}

Spargias, Konstantinos ^{[1
]}

机构：

[1] HYGEIA Hosp, Transcatheter Heart Valves Dept, Erythrou Stavrou 9 Str, Athens 15123, Greece

来源：

EUROPEAN HEART JOURNAL-CASE REPORTS | 2019年 / 3卷 / 01期

关键词：

MitraClip; Edge-to-edge repair; Acute mitral regurgitation; Acute heart failure; Papillary muscle rupture; Case report; MYOCARDIAL-INFARCTION;

D O I：

10.1093/ehjcr/ytz001

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background Papillary muscle (PM) rupture is a devastating mechanical complication of myocardial infarction that leads to cardio-genic shock and death. In this case, we report a patient with acute mitral regurgitation due to PM rupture that was treated successfully with MitraClip. Case summary An 85-year-old female patient with anterior ST-elevation myocardial infarction complicated with PM rupture and acute severe mitral regurgitation was admitted to our hospital. The patient's surgical risk was considered to be prohibitively high, and was therefore, referred for transcatheter edge-to-edge repair with MitraClip. The procedure was successful, and the patient was discharged home in a stable condition. Discussion Acute mitral regurgitation due to PM rupture is a mechanical complication of myocardial infarction that should be treated early because of high mortality rates. This case highlights the role of MitraClip in acute mitral regurgitation and acute heart failure as an alternative to surgery method in high-risk patients.

引用

页数：4

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