Successful percutaneous mitral valve repair with the mitraclip system of acute mitral regurgitation due to papillary muscle rupture as complication of acute myocardial infarction

Authors

  • Mehmet Bilge MD,

    1. Division of Cardiology, Ataturk Education and Research Hospital, Ankara, Turkey
    2. Division of Cardiology, Faculty of Medicine, Yildirim Beyazit University, Ankara, Turkey
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  • Recai Alemdar MD,

    1. Division of Cardiology, Ataturk Education and Research Hospital, Ankara, Turkey
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  • Ayse Saatci Yasar MD

    Corresponding author
    1. Division of Cardiology, Ataturk Education and Research Hospital, Ankara, Turkey
    • Correspondence to: Ayse Saatci Yasar, md, Division of Cardiology, Ataturk Education and Research Hospital, Bilkent/Ankara 06530, Turkey. E-mail: drasaatciyasar@yahoo.com

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  • Conflict of interest: Nothing to report.

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.© 2013 Wiley Periodicals, Inc.

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