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Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
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Mitral valve surgery for acute papillary muscle rupture
Ibrahim Sultan1,2, Edgar Aranda-Michel1, Thomas G Gleason1,2
1Division of Cardiac Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania.
Journal of Cardiac Surgery
|July 26, 2018
Summary
Papillary muscle rupture (PMR) after heart attack is rare. Mitral valve surgery for acute PMR showed acceptable operative mortality and good longer-term outcomes in this study.
Area of Science:
- Cardiology
- Cardiac Surgery
- Cardiovascular Research
Background:
- Papillary muscle rupture (PMR) is a rare but serious complication following myocardial infarction.
- Acute PMR necessitates urgent intervention to manage severe mitral regurgitation.
Purpose of the Study:
- To review the outcomes of mitral valve surgery for acute papillary muscle rupture.
- To assess operative morbidity, mortality, and long-term results following PMR repair.
Main Methods:
- Retrospective review of patients undergoing emergent mitral valve surgery for acute PMR (2011-2017).
- Analysis of operative outcomes including morbidity, mortality, reoperation, and readmission.
- Evaluation of long-term survival and valve-related events.
Main Results:
- 24 patients (1.0%) underwent surgery for PMR out of 2479 mitral valve surgeries.
- Operative mortality was 12.5% (3 patients), with an observed-to-expected mortality ratio of 0.71.
- Three-year outcomes included 21.1% mortality, 5.0% reoperation, and 45.4% readmission.
Conclusions:
- Early surgical intervention for PMR can lead to acceptable short-term and long-term results.
- Mitral valve surgery provides a viable treatment option for patients with acute PMR.
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