Mobile Transcatheter Edge-to-Edge Repair Team for Acute Post-Myocardial Infarction Mitral Regurgitation.

BACKGROUND

Cardiogenic shock (CS) due to papillary muscle rupture causing acute mitral regurgitation (MR) after acute coronary syndrome carries poor prognosis and frequently necessitates urgent MR reduction.

CASE SUMMARY: A 70-year-old man presented in CS due to papillary muscle rupture at a hospital without cardiac surgery or expertise in structural heart interventions. He was deemed at high risk for transfer by the heart team, and a percutaneous treatment approach was chosen. A mobile mitral transcatheter edge-to-edge repair (m-TEER) team was dispatched from a tertiary center, and within hours the patient underwent coronary intervention and successful m-TEER, leading to marked hemodynamic and clinical improvement.

DISCUSSION: In patients deemed at high risk for transport, a mobile m-TEER service ensures procedural safety and quality while avoiding the hazards of interfacility transport.

TAKE-HOME MESSAGE: A mobile m-TEER team can deliver effective m-TEER for patients in CS requiring urgent MR reduction and deemed at high risk for transfer.