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Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Simultaneous Percutaneous Ventricular Septal Closure and Mitral Valve Repair in Postinfarction Mechanical
Azka Naeem1, Ilya Giverts1, Muhammad Hashim Khan1
1Department of Internal Medicine, Maimonides Medical Center, Brooklyn, New York.
None:
Ventricular septal rupture (VSR) and papillary muscle rupture are lethal complications of acute myocardial infarction. We present the case of a 76-year-old woman presenting with chest pain with electrocardiogram showing ST-segment elevation in the inferior leads. Angiography showed chronic right coronary artery occlusion. A VSR and partially torn papillary muscle was seen on echocardiogram. Percutaneous VSR closure with an Amplatzer device (Abbott) and mitral valve repair with a MitraClip (Abbott) were successfully performed simultaneously, and she was discharged to a skilled nursing facility. Percutaneous intervention seems a promising alternative, even for VSR and papillary muscle rupture in a single setting.
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