Percutaneous mitral valve repair in patients developing severe mitral regurgitation early after an acute myocardial infarction: A review
Acute mitral regurgitation (MR) may develop in the setting of an acute myocardial infarction (AMI) because of papillary muscle dysfunction or rupture. Severe acute MR in this scenario is a life-threatening complication associated with hemodynamic instability and pulmonary edema, and has been linked...
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Format: | Article |
Language: | English |
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Frontiers Media S.A.
2022-09-01
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Series: | Frontiers in Cardiovascular Medicine |
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Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2022.987122/full |
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author | Rodrigo Estévez-Loureiro Marta Tavares Da Silva José Antonio Baz-Alonso Berenice Caneiro-Queija Manuel Barreiro-Pérez Francisco Calvo-Iglesias Rocio González-Ferreiro Luis Puga Miguel Piñón Andrés Íñiguez-Romo |
author_facet | Rodrigo Estévez-Loureiro Marta Tavares Da Silva José Antonio Baz-Alonso Berenice Caneiro-Queija Manuel Barreiro-Pérez Francisco Calvo-Iglesias Rocio González-Ferreiro Luis Puga Miguel Piñón Andrés Íñiguez-Romo |
author_sort | Rodrigo Estévez-Loureiro |
collection | DOAJ |
description | Acute mitral regurgitation (MR) may develop in the setting of an acute myocardial infarction (AMI) because of papillary muscle dysfunction or rupture. Severe acute MR in this scenario is a life-threatening complication associated with hemodynamic instability and pulmonary edema, and has been linked to a worse prognosis even after reperfusion. Patients treated solely with medical therapy have the highest mortality rates. Surgery has been the only treatment strategy until recently, but the results of the technique are hindered by high rates of morbidity and mortality. Therefore, the development of less invasive interventions for correcting MR would be ideal. We aimed to review the current role of transcatheter interventions in this clinical setting. |
first_indexed | 2024-04-12T04:30:55Z |
format | Article |
id | doaj.art-234cf37ab47146cd9490fcee07d37553 |
institution | Directory Open Access Journal |
issn | 2297-055X |
language | English |
last_indexed | 2024-04-12T04:30:55Z |
publishDate | 2022-09-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Cardiovascular Medicine |
spelling | doaj.art-234cf37ab47146cd9490fcee07d375532022-12-22T03:47:57ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-09-01910.3389/fcvm.2022.987122987122Percutaneous mitral valve repair in patients developing severe mitral regurgitation early after an acute myocardial infarction: A reviewRodrigo Estévez-Loureiro0Marta Tavares Da Silva1José Antonio Baz-Alonso2Berenice Caneiro-Queija3Manuel Barreiro-Pérez4Francisco Calvo-Iglesias5Rocio González-Ferreiro6Luis Puga7Miguel Piñón8Andrés Íñiguez-Romo9Cardiovascular Research Group, Department of Cardiology, University Hospital Alvaro Cunqueiro, Galicia Sur Health Research Institute (IIS Galicia Sur), Servizo Galego de Saude, University of Vigo, Vigo, SpainCardiovascular Research Group, Department of Cardiology, University Hospital Alvaro Cunqueiro, Galicia Sur Health Research Institute (IIS Galicia Sur), Servizo Galego de Saude, University of Vigo, Vigo, SpainCardiovascular Research Group, Department of Cardiology, University Hospital Alvaro Cunqueiro, Galicia Sur Health Research Institute (IIS Galicia Sur), Servizo Galego de Saude, University of Vigo, Vigo, SpainCardiovascular Research Group, Department of Cardiology, University Hospital Alvaro Cunqueiro, Galicia Sur Health Research Institute (IIS Galicia Sur), Servizo Galego de Saude, University of Vigo, Vigo, SpainCardiovascular Research Group, Department of Cardiology, University Hospital Alvaro Cunqueiro, Galicia Sur Health Research Institute (IIS Galicia Sur), Servizo Galego de Saude, University of Vigo, Vigo, SpainCardiovascular Research Group, Department of Cardiology, University Hospital Alvaro Cunqueiro, Galicia Sur Health Research Institute (IIS Galicia Sur), Servizo Galego de Saude, University of Vigo, Vigo, SpainCardiovascular Research Group, Department of Cardiology, University Hospital Alvaro Cunqueiro, Galicia Sur Health Research Institute (IIS Galicia Sur), Servizo Galego de Saude, University of Vigo, Vigo, SpainCardiovascular Research Group, Department of Cardiology, University Hospital Alvaro Cunqueiro, Galicia Sur Health Research Institute (IIS Galicia Sur), Servizo Galego de Saude, University of Vigo, Vigo, SpainDepartment of Cardiovascular Surgery, University Hospital Alvaro Cunqueiro, Vigo, SpainCardiovascular Research Group, Department of Cardiology, University Hospital Alvaro Cunqueiro, Galicia Sur Health Research Institute (IIS Galicia Sur), Servizo Galego de Saude, University of Vigo, Vigo, SpainAcute mitral regurgitation (MR) may develop in the setting of an acute myocardial infarction (AMI) because of papillary muscle dysfunction or rupture. Severe acute MR in this scenario is a life-threatening complication associated with hemodynamic instability and pulmonary edema, and has been linked to a worse prognosis even after reperfusion. Patients treated solely with medical therapy have the highest mortality rates. Surgery has been the only treatment strategy until recently, but the results of the technique are hindered by high rates of morbidity and mortality. Therefore, the development of less invasive interventions for correcting MR would be ideal. We aimed to review the current role of transcatheter interventions in this clinical setting.https://www.frontiersin.org/articles/10.3389/fcvm.2022.987122/fullmitral regurgitationmyocardial infarctiontranscatheter mitral valve (MV) repaircardiogenic shock (CS)MitraClip® |
spellingShingle | Rodrigo Estévez-Loureiro Marta Tavares Da Silva José Antonio Baz-Alonso Berenice Caneiro-Queija Manuel Barreiro-Pérez Francisco Calvo-Iglesias Rocio González-Ferreiro Luis Puga Miguel Piñón Andrés Íñiguez-Romo Percutaneous mitral valve repair in patients developing severe mitral regurgitation early after an acute myocardial infarction: A review Frontiers in Cardiovascular Medicine mitral regurgitation myocardial infarction transcatheter mitral valve (MV) repair cardiogenic shock (CS) MitraClip® |
title | Percutaneous mitral valve repair in patients developing severe mitral regurgitation early after an acute myocardial infarction: A review |
title_full | Percutaneous mitral valve repair in patients developing severe mitral regurgitation early after an acute myocardial infarction: A review |
title_fullStr | Percutaneous mitral valve repair in patients developing severe mitral regurgitation early after an acute myocardial infarction: A review |
title_full_unstemmed | Percutaneous mitral valve repair in patients developing severe mitral regurgitation early after an acute myocardial infarction: A review |
title_short | Percutaneous mitral valve repair in patients developing severe mitral regurgitation early after an acute myocardial infarction: A review |
title_sort | percutaneous mitral valve repair in patients developing severe mitral regurgitation early after an acute myocardial infarction a review |
topic | mitral regurgitation myocardial infarction transcatheter mitral valve (MV) repair cardiogenic shock (CS) MitraClip® |
url | https://www.frontiersin.org/articles/10.3389/fcvm.2022.987122/full |
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