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.
| Original language | English |
|---|---|
| Pages (from-to) | 104-106 |
| Number of pages | 3 |
| Journal | Journal of Cardiovascular Echography |
| Volume | 31 |
| Issue number | 2 |
| DOIs | |
| State | Published - 1 Apr 2021 |
| Externally published | Yes |
Keywords
- MitraClip
- mitral regurgitation
- myocardial infarction
- papillary muscle tear
- percutaneous mitral repair