Medicine · 2025
The use of venoarterial ECMO as a successful strategy in acute severe mitral regurgitation secondary to papillary muscle rupture due to acute myocardial infarction: A case report and narrative review.
СтатьяКлинический случайОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Wang Yan, Wang Jie, Sun Caihong, He Tao, Wang Weijie, Zhang Wenhui, Wang Yan, Qin Zehui, Li Leibing
Аннотация
RATIONALE: Acute mitral regurgitation (MR) secondary to papillary muscle rupture is a rare but often life-threatening mechanical complication post-acute myocardial infarction (MI). The use of peripheral venoarterial extracorporeal membrane oxygenation (VA-ECMO) as a bridge to mitral valve replacement surgery may improve outcome of such patients.
PATIENT CONCERNS: We reported the case of a 70-year old woman with past history who presented to the emergency department at People's Hospital of Rizhao with "a 5-day history of chest distress." She developed refractory cardiogenic shock, severe pulmonary edema and severe acidosis.
DIAGNOSES: Restoration of spontaneous circulation following PCI, VA-ECMO, IABP, and early mitral valve replacement.
INTERVENTIONS: After performing percutaneous coronary intervention (PCI) supported by VA-ECMO and intra-aortic balloon pump (IABP), our group performed a early mitral valve replacement for this patient.
OUTCOMES: This patient preliminarily made a good recovery after VA-ECMO and IABP discontinued.
LESSONS: This case demonstrated that VA ECMO combined with PCI, VA-ECMO, IABP and early mitral valve replacement can result in favorable outcomes, and might be viable emergency therapeutic options.
PATIENT CONCERNS: We reported the case of a 70-year old woman with past history who presented to the emergency department at People's Hospital of Rizhao with "a 5-day history of chest distress." She developed refractory cardiogenic shock, severe pulmonary edema and severe acidosis.
DIAGNOSES: Restoration of spontaneous circulation following PCI, VA-ECMO, IABP, and early mitral valve replacement.
INTERVENTIONS: After performing percutaneous coronary intervention (PCI) supported by VA-ECMO and intra-aortic balloon pump (IABP), our group performed a early mitral valve replacement for this patient.
OUTCOMES: This patient preliminarily made a good recovery after VA-ECMO and IABP discontinued.
LESSONS: This case demonstrated that VA ECMO combined with PCI, VA-ECMO, IABP and early mitral valve replacement can result in favorable outcomes, and might be viable emergency therapeutic options.