Percutaneous edge to edge repair for acute mitral regurgitation due to papillary muscle rupture in the setting of acute myocardial infarction
DOI:
https://doi.org/10.37615/retic.v6n2a4Keywords:
papillary muscle rupture, percutaneous edge to edge repair, tridimensional transesophageal echocardiography.Abstract
Severe acute mitral regurgitation due to papillary muscle rupture is an infrequent and highly morbid mechanical complication of acute myocardial infarction. It’s a life threatening complication associated with hemodynamic instability and pulmonary edema. Surgical repair or replacement is usually considered first line therapy, however, many of these patients present with prohibitively high surgical risk. We present a case of successful repair of severe acute mitral regurgitation due to papillary muscle rupture in the setting of acute myocardial infarction using percutaneous edge to edge repair technique, with resolution of cardiogenic shock in a very high surgical risk patient. Our case demonstrates the benefits of this technique and the role of transesophageal echocardiography in the diagnosis, management and follow up for this set of patients.
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Copyright (c) 2023 Ismail Khalil Azzam, Pedro Marcos-Alberca Moreno, Luis Nombela Franco, Juan Pedro Bourdin
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