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Updated: Jul 18, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Reduction of mitral valve regurgitation caused by acute papillary muscle ischemia
Marco Magnoni1, Stefano Coli, Giovanni La Canna
1Department of Cardiothoracic and Vascular Diseases, University Vita-Salute, San Raffaele Scientific Institute, Via Olgettina 58, 20132 Milan, Italy. magnoni.marco@hsr.it
Background:
A 67-year-old man was admitted to a coronary care unit for non-ST-segment elevation myocardial infarction with complicating acute heart failure. Severe mitral regurgitation was detected by echocardiography at presentation. Repeat echocardiography carried out during another ischemic episode revealed a marked reduction in the patient's mitral regurgitation that was related to decreased apical traction of the valve leaflets.
Investigations:
Physical examination, electrocardiography, laboratory tests, coronary angiography, chest radiography, echocardiography.
Diagnosis:
Mitral regurgitation associated with acute coronary syndrome.
Management:
Early revascularization by percutaneous coronary intervention, supported by pharmacological therapy to decrease left ventricular filling pressure.
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