title: Successful percutaneous mitral valve repair with the MitraClip system of acute mitral regurgitation due to papillary muscle rupture as complication of acute myocardial infarction.
abstract: Percutaneous mitral valve repair with the MitraClip is a new promising therapeutic option for symptomatic severe mitral regurgitation (MR). Acute myocardial infarction (MI) is a well recognized cause of papillary muscle rupture (PMR). If PMR is untreated, the prognosis is poor and the mortality could be as high as 80% during the first week of post MI. For patients with PMR, the standard therapy for MR is open surgical repair or replacement. However, in our case, percutaneous mitral valve repair with the MitraClip was chosen technique because of the metastatic colon cancer. We report the case of a 60-year-old woman who underwent successful percutaneous mitral valve repair with the MitraClip system for the treatment of acute MI complicated by PMR.
authors.affiliation: Division of Cardiology, Ataturk Education and Research Hospital, Ankara, Turkey; Division of Cardiology, Faculty of Medicine, Yildirim Beyazit University, Ankara, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Bilge
authors.forename: Recai
authors.initials: R
authors.lastname: Alemdar
authors.forename: Ayse Saatci
authors.initials: AS
authors.lastname: Yasar
mesh_terms: D000208:Acute Disease; D006328:Cardiac Catheterization / Q000295:instrumentation*; D017023:Coronary Angiography; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D004867:Equipment Design; D005260:Female; D006342:Heart Rupture, Post-Infarction / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D009203:Myocardial Infarction / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D010210:Papillary Muscles / Q000000981:diagnostic imaging; D062645:Percutaneous Coronary Intervention; D012720:Severity of Illness Index; D016896:Treatment Outcome
keywords: MitraClip; acute myocardial infarction; papillary muscle rupture