European heart journal. Case reports · 2026
Fully percutaneous emergency management of an acute myocardial infarction complicated by papillary muscle rupture treated with percutaneous revascularization and mitral transcatheter edge-to-edge repair: a case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Pennacchi Mauro, De Felice Francesco, Pergolini Amedeo, Pingitore Annachiara, Gabrielli Domenico
Аннотация
BACKGROUND: Papillary muscle rupture (PMR) in a rare and life-threatening complication of a myocardial infarction (MI). In our case we describe a complete percutaneous emergency management of this complication with coronary angioplasty followed to successful MitraClip repair.
CASE SUMMARY: We report a case of a 62-year-old man with MI and severe mitral regurgitation. We performed percutaneous revascularization and intra-aortic balloon pump (IABP) was placed. After a transthoracic and transoesophageal echo evaluation, a PMR was diagnosed. Due to intractable pulmonary oedema, we proceed to emergency mitral edge-to-edge repair with two MitraClip just 2 h later. Mitral regurgitation was reduced to mild, and patient was extubated.
CONCLUSION: This case reports a completely percutaneous management of an MI complicated by PMR in prohibitive surgical risk patient. Emergency treatment of MI and PMR with coronary angioplasty and MitraClip is feasible and could be a bail-out option in high surgical risk patients.
CASE SUMMARY: We report a case of a 62-year-old man with MI and severe mitral regurgitation. We performed percutaneous revascularization and intra-aortic balloon pump (IABP) was placed. After a transthoracic and transoesophageal echo evaluation, a PMR was diagnosed. Due to intractable pulmonary oedema, we proceed to emergency mitral edge-to-edge repair with two MitraClip just 2 h later. Mitral regurgitation was reduced to mild, and patient was extubated.
CONCLUSION: This case reports a completely percutaneous management of an MI complicated by PMR in prohibitive surgical risk patient. Emergency treatment of MI and PMR with coronary angioplasty and MitraClip is feasible and could be a bail-out option in high surgical risk patients.