Transcatheter Mitral Valve Repair to Treat Postmyocardial Infarction Papillary Muscle Rupture.

ABSTRACT: 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.

SUBMITTER: Hayek A 

PROVIDER: S-EPMC8388319 | biostudies-literature | 2021 Apr-Jun

REPOSITORIES: biostudies-literature