Operative strategies for acute mitral regurgitation as a mechanical complication of myocardial infarction

G. Massimi; M. Matteucci; M. Kowalewski; D. Ronco; G. Chiarini; M.E. De Piero; V. Lo Coco; J.G. Maessen; C. Beghi; R. Lorusso

doi:10.21037/acs-2022-ami-0016

Operative strategies for acute mitral regurgitation as a mechanical complication of myocardial infarction

G. Massimi^*, M. Matteucci, M. Kowalewski, D. Ronco, G. Chiarini, M.E. De Piero, V. Lo Coco, J.G. Maessen, C. Beghi, R. Lorusso

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Severe mitral regurgitation secondary to papillary muscle rupture is one of the mechanical complications after an acute myocardial infarction. Surgical strategies represent the cornerstone of treatment in this disease; in addition to surgical valve replacement, approaches involving surgical valve repair have been reported over time in different clinical scenarios to restore valve competency, improve cardiac function and reduce mechanical prosthesis-related risks. Moreover, in recent years, percutaneous trans-catheter procedures have emerged as an important alternative in high risk or inoperable patients.

Original language	English
Pages (from-to)	328-336
Number of pages	9
Journal	Annals of Cardiothoracic Surgery
Volume	11
Issue number	3
DOIs	https://doi.org/10.21037/acs-2022-ami-0016
Publication status	Published - 1 May 2022

Keywords

Acute mitral regurgitation (AMR)
papillary muscle rupture (PMR)
surgical technique
RUPTURED PAPILLARY-MUSCLE
VALVE REPAIR
REPLACEMENT
PROLAPSE
HEART

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10.21037/acs-2022-ami-0016Licence: CC BY-NC-ND

Cite this

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title = "Operative strategies for acute mitral regurgitation as a mechanical complication of myocardial infarction",

abstract = "Severe mitral regurgitation secondary to papillary muscle rupture is one of the mechanical complications after an acute myocardial infarction. Surgical strategies represent the cornerstone of treatment in this disease; in addition to surgical valve replacement, approaches involving surgical valve repair have been reported over time in different clinical scenarios to restore valve competency, improve cardiac function and reduce mechanical prosthesis-related risks. Moreover, in recent years, percutaneous trans-catheter procedures have emerged as an important alternative in high risk or inoperable patients.",

keywords = "Acute mitral regurgitation (AMR), papillary muscle rupture (PMR), surgical technique, RUPTURED PAPILLARY-MUSCLE, VALVE REPAIR, REPLACEMENT, PROLAPSE, HEART",

author = "G. Massimi and M. Matteucci and M. Kowalewski and D. Ronco and G. Chiarini and {De Piero}, M.E. and {Lo Coco}, V. and J.G. Maessen and C. Beghi and R. Lorusso",

note = "Funding Information: The authors thank Massimiliano (Max) Crespi for his help with developing the illustrations. Publisher Copyright: {\textcopyright} Annals of Cardiothoracic Surgery. All rights reserved.",

year = "2022",

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doi = "10.21037/acs-2022-ami-0016",

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T1 - Operative strategies for acute mitral regurgitation as a mechanical complication of myocardial infarction

AU - Massimi, G.

AU - Matteucci, M.

AU - Kowalewski, M.

AU - Ronco, D.

AU - Chiarini, G.

AU - De Piero, M.E.

AU - Lo Coco, V.

AU - Maessen, J.G.

AU - Beghi, C.

AU - Lorusso, R.

PY - 2022/5/1

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N2 - Severe mitral regurgitation secondary to papillary muscle rupture is one of the mechanical complications after an acute myocardial infarction. Surgical strategies represent the cornerstone of treatment in this disease; in addition to surgical valve replacement, approaches involving surgical valve repair have been reported over time in different clinical scenarios to restore valve competency, improve cardiac function and reduce mechanical prosthesis-related risks. Moreover, in recent years, percutaneous trans-catheter procedures have emerged as an important alternative in high risk or inoperable patients.

AB - Severe mitral regurgitation secondary to papillary muscle rupture is one of the mechanical complications after an acute myocardial infarction. Surgical strategies represent the cornerstone of treatment in this disease; in addition to surgical valve replacement, approaches involving surgical valve repair have been reported over time in different clinical scenarios to restore valve competency, improve cardiac function and reduce mechanical prosthesis-related risks. Moreover, in recent years, percutaneous trans-catheter procedures have emerged as an important alternative in high risk or inoperable patients.

KW - Acute mitral regurgitation (AMR)

KW - papillary muscle rupture (PMR)

KW - surgical technique

KW - RUPTURED PAPILLARY-MUSCLE

KW - VALVE REPAIR

KW - REPLACEMENT

KW - PROLAPSE

KW - HEART

U2 - 10.21037/acs-2022-ami-0016

DO - 10.21037/acs-2022-ami-0016

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SN - 2225-319X

VL - 11

SP - 328

EP - 336

JO - Annals of Cardiothoracic Surgery

JF - Annals of Cardiothoracic Surgery

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