Successful percutaneous mitral valve repair with the MitraClip system of acute mitral regurgitation due to papillary muscle rupture as complication of acute myocardial infarction

Catheter Cardiovasc Interv. 2014 Jan 1;83(1):E137-40. doi: 10.1002/ccd.24960. Epub 2013 Jul 17.

Abstract

Percutaneous mitral valve repair with the MitraClip is a new promising therapeutic option for symptomatic severe mitral regurgitation (MR). Acute myocardial infarction (MI) is a well recognized cause of papillary muscle rupture (PMR). If PMR is untreated, the prognosis is poor and the mortality could be as high as 80% during the first week of post MI. For patients with PMR, the standard therapy for MR is open surgical repair or replacement. However, in our case, percutaneous mitral valve repair with the MitraClip was chosen technique because of the metastatic colon cancer. We report the case of a 60-year-old woman who underwent successful percutaneous mitral valve repair with the MitraClip system for the treatment of acute MI complicated by PMR.

Keywords: MitraClip; acute myocardial infarction; papillary muscle rupture.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Acute Disease
  • Cardiac Catheterization / instrumentation*
  • Coronary Angiography
  • Echocardiography, Doppler, Color
  • Echocardiography, Transesophageal
  • Equipment Design
  • Female
  • Heart Rupture, Post-Infarction / diagnosis
  • Heart Rupture, Post-Infarction / etiology
  • Heart Rupture, Post-Infarction / therapy*
  • Humans
  • Middle Aged
  • Mitral Valve Insufficiency / diagnosis
  • Mitral Valve Insufficiency / etiology
  • Mitral Valve Insufficiency / therapy*
  • Myocardial Infarction / complications*
  • Myocardial Infarction / diagnosis
  • Myocardial Infarction / therapy
  • Papillary Muscles* / diagnostic imaging
  • Percutaneous Coronary Intervention
  • Severity of Illness Index
  • Treatment Outcome