scholarly journals CMR predictors of secondary moderate to severe mitral regurgitation and its additive prognostic role in previous myocardial infarction

2021 ◽  
Author(s):  
Gianluca Di Bella ◽  
Fausto Pizzino ◽  
Giovanni Donato Aquaro ◽  
Antonio Bracco ◽  
Roberta Manganaro ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Mitral Regurgitation ◽  
Severe Mitral Regurgitation ◽  
Previous Myocardial Infarction ◽  
Prognostic Role

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.

Severe Mitral Regurgitation Following Acute Myocardial Infarction and Ruptured Papillary Muscle

Circulation ◽  
1968 ◽  
Vol 37 (4s2) ◽  
Author(s):  
ANDREW G. MORROW ◽  
LAWRENCE S. COHEN ◽  
WILLIAM C. ROBERTS ◽  
NINA S. BRAUNWALD ◽  
EUGENE BRAUNWALD
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Mitral Regurgitation ◽  
Papillary Muscle ◽  
Severe Mitral Regurgitation

scholarly journals MitraClip to Treat Severe Ischemic Mitral Regurgitation During Impella CP Support in a 70-Year-Old Woman

2020 ◽  
Vol 47 (4) ◽  
pp. 306-310
Author(s):  
Said Ashraf ◽  
Tomo Ando ◽  
Nimrod Blank ◽  
Ahmad Munir ◽  
Theodore Schreiber
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Coronary Artery ◽  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Cardiogenic Shock ◽  
Mitral Valve Surgery ◽  
Circulatory Support ◽  
Drug Eluting Stent ◽  
Severe Mitral Regurgitation

Acute mitral regurgitation is a life-threatening complication of acute myocardial infarction. We present the case of a 70-year-old woman who had acute myocardial infarction complicated by severe mitral regurgitation and cardiogenic shock. Although current guidelines recommend mitral valve surgery for such patients, surgery often carries prohibitive risk of morbidity and mortality. Thus, in certain patients, percutaneous repair may be the only viable treatment option. In this case, we used a 3-step percutaneous approach involving coronary artery revascularization with a drug-eluting stent in the left circumflex coronary artery, mechanical circulatory support with an Impella CP pump for cardiogenic shock, and mitral valve repair with the MitraClip system for severe mitral regurgitation. After successful intervention, our patient regained hemodynamic stability and showed clinical improvement at one-month follow-up.

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