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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Main Authors: 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
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
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.
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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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