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Use of MitraClip for Postmyocardial Infarction Mitral Regurgitation Secondary to Papillary Muscle Dysfunction
Muhammad Yasin1, Aravinda Nanjundappa2, Frank H Annie3
1Internal Medicine, Charleston Area Medical Center, Charleston , USA.
Abstract:
Papillary muscle rupture after acute myocardial infarction (AMI) is a dreadful complication and it is associated with five percent of deaths following AMI. Surgery is the recommended treatment of choice; however, it is usually deferred due to the high risk of mortality. MitraClip implantation using a transcatheter approach is an alternative option for patients with severe mitral regurgitation (MR) following AMI or those with high operative risk. We report a case of a 68-year-old male patient who developed severe MR secondary to AMI and underwent successful mitral valve repair using the MitraClip device.
Insights
Papillary muscle rupture following acute myocardial infarction (AMI) can be fatal. Transcatheter mitral valve repair with MitraClip offers a viable alternative for high-risk patients with severe mitral regurgitation.
Area of Science:
- Cardiology
- Interventional Cardiology
- Cardiac Surgery
Background:
- Papillary muscle rupture is a severe complication of acute myocardial infarction (AMI), contributing to significant mortality.
- Surgical repair for severe mitral regurgitation (MR) post-AMI is often associated with high operative risk.
- Transcatheter mitral valve repair presents a less invasive alternative for high-risk surgical candidates.
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The dermis might be considered the "core" of the integumentary system, as distinct from the epidermis and hypodermis. It contains blood and lymph vessels, nerves, and other structures, such as hair follicles and sweat glands. The dermis is made of two layers of connective tissue that comprise an interconnected mesh of elastin and collagenous fibers, produced by fibroblasts.
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Secondary Active Transport