Abstract
Left ventricular free wall rupture, ventricular pseudoaneurysm, papillary muscle rupture and ventricular septal rupture are life-threatening mechanical complications of acute myocardial infarction. Despite significant improvements over the last decades in overall mortality for patients with myocardial infarction, the outcome of subjects who develop post-infarction mechanical complications remains poor. Surgical treatment is considered the standard of care. However, percutaneous approaches (such as pericardial fibrin-glue injection for left ventricular free wall rupture, transcatheter edge-to-edge mitral repair for papillary muscle rupture and device closure for ventricular pseudoaneurysm or septal rupture) have been proposed in selected high-risk or inoperable patients, or in subjects with ideal characteristics for feasibility, as therapeutic alternatives to open surgery. The aim of the present review is to provide a comprehensive overview of the percutaneous strategies for the management of post-acute myocardial infarction mechanical complications.
Original language | Italian |
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Pages (from-to) | 615-623 |
Number of pages | 9 |
Journal | Giornale Italiano di Cardiologia |
Volume | 25 |
Issue number | 9 |
Publication status | Published - 1 Sept 2024 |
Keywords
- Myocardial infarction
- Papillary muscle rupture
- Ventricular free wall rupture
- Ventricular pseudoaneurysm
- Ventricular septal rupture
- VENTRICULAR SEPTAL-DEFECT
- PAPILLARY-MUSCLE RUPTURE
- FREE-WALL RUPTURE
- TRANSCATHETER CLOSURE
- CORONARY INTERVENTION
- MITRAL REGURGITATION
- OUTCOMES
- REPAIR
- INJECTION
- OCCLUDER