scholarly journals Shock and Awe: Percutaneous Edge-to-Edge Repair of Post–Cardiac Surgery Severe Mitral Regurgitation Related to Papillary Muscle Tear

CASE ◽  
2021 ◽  
Author(s):  
Vahid Akbari ◽  
Douglas Wright ◽  
Shamir Mehta ◽  
Craig Ainsworth ◽  
Omid Salehian
Keyword(s):  
Cardiac Surgery ◽  
Mitral Regurgitation ◽  
Papillary Muscle ◽  
Severe Mitral Regurgitation ◽  
Muscle Tear ◽  
Post Cardiac Surgery

scholarly journals Acute severe mitral regurgitation: consideration of papillary muscle architecture

2008 ◽  
Vol 6 (1) ◽  
Author(s):  
Andrew Czarnecki ◽  
Amar Thakrar ◽  
Tielan Fang ◽  
Matthew Lytwyn ◽  
Roien Ahmadie ◽  
...  
Keyword(s):  
Mitral Regurgitation ◽  
Papillary Muscle ◽  
Muscle Architecture ◽  
Severe Mitral Regurgitation

Papillary Muscle Heads Focalization for Functional Mitral Regurgitation with Severe Tethering

2021 ◽  
Author(s):  
Masatoshi Hata ◽  
Sabine Bleiziffer ◽  
René Schramm ◽  
Jan F. Gummert
Keyword(s):  
Mitral Regurgitation ◽  
Papillary Muscle ◽  
Functional Mitral Regurgitation ◽  
Severe Mitral Regurgitation ◽  
Papillary Muscles ◽  
Posterior Leaflet ◽  
Mitral Leaflet

AbstractWe performed “Papillary muscle heads focalization” for three patients with severe functional mitral regurgitation with severe leaflet tethering (coaptation distance ≥1 cm and/or posterior leaflet angle ≥45 degrees). All separated papillary muscle heads were sutured together and both the anterolateral and posteromedial papillary muscles were reconstructed as single head papillary muscles. The stitches are positioned to adjust the levels of mitral leaflet tips, concerning the length of the marginal chordae connected to each head. A downsized annuloplasty is performed concomitantly. At discharge, no patient showed moderate/severe mitral regurgitation. Their coaptation lengths were 7.1, 8.5, and 8.3 mm.

Treatment of severe mitral regurgitation caused by ischemic papillary muscle dysfunction: Indications for coronary angioplasty

1992 ◽  
Vol 123 (4) ◽  
pp. 860-865 ◽  
Author(s):  
Claude Le Feuvre ◽  
Jean Philippe Metzger ◽  
Marie Laure Lachurie ◽  
Jean Louis Georges ◽  
Nicole Baubion ◽  
...  
Keyword(s):  
Mitral Regurgitation ◽  
Papillary Muscle ◽  
Coronary Angioplasty ◽  
Muscle Dysfunction ◽  
Severe Mitral Regurgitation ◽  
Papillary Muscle Dysfunction

scholarly journals Postinfarct Intracardiac Mass with Severe Mitral Regurgitation: Late Rupture of One of the Heads of Posteriomedial Papillary Muscle

2014 ◽  
Vol 2 (1) ◽  
pp. 29-31
Author(s):  
Prashanth Panduranga
Keyword(s):  
Myocardial Infarction ◽  
Mitral Regurgitation ◽  
Papillary Muscle ◽  
Ischemic Mitral Regurgitation ◽  
Severe Mitral Regurgitation ◽  
Rare Presentation ◽  
Clear Cut ◽  
Intracardiac Mass ◽  
Chronic Ischemic Mitral Regurgitation ◽  
Perioperative Transesophageal Echocardiography

ABSTRACT Acute ischemic mitral regurgitation is due to complete or partial rupture of either anterolateral or posteriomedial papillary muscles occurring within a week of acute myocardial infarction. Chronic ischemic mitral regurgitation is due to postinfarct remodeling leading to imbalance between tethering and closing forces of mitral valve apparatus. We present a 64-year-old male, presenting with acute pulmonary edema secondary to severe mitral regurgitation, a week after his myocardial infarction. Transthoracic echocardiogram detected a mobile intracardiac mass near anterior mitral leaflet with no clear-cut intracardiac origin of this mass. Perioperative transesophageal echocardiography detected rupture of one of the heads of posteriomedial papillary muscle. This case illustrates a rare presentation of postinfarct rupture of one of the heads of posteriomedial papillary muscle occurring late after infarction presenting as an intracardiac mass, which can have surgical implications. How to cite this article Panduranga P. Postinfarct Intracardiac Mass with Severe Mitral Regurgitation: Late Rupture of One of the Heads of Posteriomedial Papillary Muscle. J Perioper Echocardiogr 2014;2(1)29-31.

Results of valve replacement for severe mitral regurgitation due to papillary muscle rupture or fibrosis

1973 ◽  
Vol 32 (3) ◽  
pp. 313-321 ◽  
Author(s):  
D. Luke Glancy ◽  
Edward B. Stinson ◽  
Richard L. Shepherd ◽  
Samuel B. Itscoitz ◽  
William C. Roberts ◽  
...  
Keyword(s):  
Mitral Regurgitation ◽  
Valve Replacement ◽  
Papillary Muscle ◽  
Severe Mitral Regurgitation ◽  
Papillary Muscle Rupture ◽  
Muscle Rupture

An unusual presentation of ischaemic mitral regurgitation as P2 prolapse

Perfusion ◽  
2017 ◽  
Vol 32 (8) ◽  
pp. 706-708
Author(s):  
David S. Thompson ◽  
Prakash P. Punjabi
Keyword(s):  
Coronary Artery ◽  
Mitral Regurgitation ◽  
Pulmonary Oedema ◽  
Papillary Muscle ◽  
Myocardial Ischaemia ◽  
Severe Mitral Regurgitation ◽  
Circumflex Coronary Artery ◽  
Complete Occlusion ◽  
Acute Mitral Regurgitation ◽  
Obtuse Marginal

A 54-year-old gentleman presented with pulmonary oedema secondary to anterolateral papillary muscle (PPM) rupture and acute mitral regurgitation subsequent to myocardial ischaemia (MI). Angiography revealed complete occlusion of the first obtuse marginal (OM1) branch of the circumflex coronary artery and a 70% occlusion of the left anterior descending (LAD) coronary artery. Operatively, unusual anatomy was noted; an accessory head was attached superiorly to the anterior lateral PPM. This gave rise to chordae that were subsequently attached to the posterior second (P2) scallop. Additionally, the P2 scallop was deficient in chordae from the posteromedial PPM, thus, loss of this accessory head led to severe mitral regurgitation. We review the PPM anatomy and pathological context of PPM rupture and ischaemic mitral regurgitation.

Case report: New treatment with Tolvaptan for heart failure after cardiac surgery

2014 ◽  
Vol 17 (4) ◽  
pp. 198
Author(s):  
Akira Sezai ◽  
Mitsuru Iida ◽  
Isamu Yoshitake ◽  
Shunji Osaka ◽  
Hiroaki Hata ◽  
...  
Keyword(s):  
Heart Failure ◽  
Cardiac Surgery ◽  
Case Report ◽  
Mitral Regurgitation ◽  
Marked Improvement ◽  
Ischemic Cardiomyopathy ◽  
Fluid Management ◽  
Perioperative Period ◽  
Severe Mitral Regurgitation ◽  
New Treatment

The vasopressin V<sub>2</sub> receptor antagonist (Tolvaptan) is a new diuretic that selectively promotes the excretion of water. It has been reported to be effective for patients in cardiology, but there have been no reports of its use in the perioperative period after cardiac surgery. We report the usefulness of Tolvaptan for postoperative fluid management in a patient with severe mitral regurgitation due to ischemic cardiomyopathy. Marked improvement was achieved after administration of Tolvaptan for heart failure in the postoperative period.

Sign in / Sign up

Export Citation Format

Share Document