Effective percutaneous “edge-to-edge” mitral valve repair with mitraclip in a patient with acute post-MI regurgitation not related to papillary muscle rupture

2016 ◽  
Vol 88 (7) ◽  
pp. 1177-1180 ◽  
Author(s):  
Giandomenico Tarsia ◽  
Costantino Smaldone ◽  
Marco F. Costantino
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Papillary Muscle ◽  
Valve Repair ◽  
Papillary Muscle Rupture ◽  
Muscle Rupture

scholarly journals Minimally Invasive Mitral Valve Repair for Acute Papillary Muscle Rupture During Pregnancy

2019 ◽  
Vol 107 (2) ◽  
pp. e93-e95 ◽  
Author(s):  
Stephanie Nguyen ◽  
Juan B. Umana-Pizano ◽  
Roopali Donepudi ◽  
Abhijeet Dhoble ◽  
Tom C. Nguyen
Keyword(s):  
Mitral Valve ◽  
Minimally Invasive ◽  
Mitral Valve Repair ◽  
Papillary Muscle ◽  
Valve Repair ◽  
Papillary Muscle Rupture ◽  
Muscle Rupture

scholarly journals P1470 Rare cause of papillary muscle rupture post cardiac surgery

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
E Lopez Rodriguez ◽  
F Calvo Iglesias ◽  
E Blanco Gonzalez ◽  
M A Varela Martinez ◽  
J J Legarra Calderon
Keyword(s):  
Cardiac Surgery ◽  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Papillary Muscle ◽  
Rare Complication ◽  
Heart Team ◽  
Valve Repair ◽  
Papillary Muscle Rupture ◽  
Valvular Surgery ◽  
Muscle Rupture

Abstract Introduction Papillary muscle rupture (PMR) secondary to mitral valve repair surgery is a rare complication in the postoperative period of cardiac surgery Purpose We present a case of PMR with fatal outcome after mitral valve repair with a rigid ring secondary to accidental ligature of the circumflex artery (CA). Methods An 83-year-old male referred for valvular surgery for symptomatic mitral regurgitation (MR). In the last echocardiography LVEF was mildly depressed (45-50%), severe organic MR (A2 chord rupture), functional TR, and moderate degenerative AR. With these findings and together with a normal coronary angiography, he was presenting at the Heart Team for triple valvular surgery. The procedure consisted of implanting aortic biological prosthesis, mitral and tricuspid annuloplasty. During the pump output, he presented ventricular arrhythmias, but in the intraoperative transesophageal echocardiography (TEE) a good result was demonstrated. At 24h postoperatively the patient enters arrhythmic storm, ischemia data appear on ECG (ST-segment depression of V1-V3 and DI-aVL) and elevation of markers of myocardial damage (TnIc 450 ng/mL), which point to complication postsurgical cardiology is contacted for urgent echocardiography. Results The echocardiography showed a massive MI due to postero-medial PMR, inferior and inferolateral akinesia and severe biventricular dysfunction. With these findings and with the suspicion of accidental ligation of CA during the implantation of the mitral annulus, urgent catheterization is considered. Given the evolution of the ischemic event and the delicate hemodynamic situation, this option is discarded, so that angiographic confirmation is not achieved. Finally, the patient undergoes cardiac revision surgery as a last option. After performing sternotomy, cardiac rupture at a lower level is evidenced, patch closure is attempted but due to tissue friability it is not achieved and the patient dies in the surgical act. Conclusion RMP after mitral valve surgery is a very rare complication. The majority of published cases are related to increased tension forces after mitral replacement with preservation of the subvalvular apparatus. Our case would be the first described of MPR secondary to accidental ligation of AC after mitral annuloplasty.

scholarly journals Mitral valve repair for post-myocardial infarction papillary muscle rupture

2013 ◽  
Vol 44 (6) ◽  
pp. 1063-1069 ◽  
Author(s):  
W. Bouma ◽  
I. J. Wijdh-den Hamer ◽  
T. J. Klinkenberg ◽  
M. Kuijpers ◽  
A. Bijleveld ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Papillary Muscle ◽  
Post Myocardial Infarction ◽  
Valve Repair ◽  
Papillary Muscle Rupture ◽  
Muscle Rupture

Outcomes of emergency or urgent mitral valve repair in patients with papillary muscle rupture and active infective endocarditis

2020 ◽  
Vol 28 (7) ◽  
pp. 390-397
Author(s):  
Jun Li ◽  
Chunsheng Wang ◽  
Tianyu Zhou ◽  
Yiping Sun ◽  
Kai Zhu ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Mitral Valve Repair ◽  
Papillary Muscle ◽  
Ischemic Mitral Regurgitation ◽  
Valve Repair ◽  
Papillary Muscle Rupture ◽  
Active Infective Endocarditis ◽  
Muscle Rupture

Background Emergency or urgent surgery is often required in patients with papillary muscle rupture and active mitral valve infective endocarditis. The aim of this study was to analyze the outcomes of patients with active endocarditis who underwent emergency or urgent mitral valve repair. Methods From 2005 to 2014, 154 ischemic mitral regurgitation patients and 41 infective endocarditis patients underwent mitral valve repair in our institution; 23 had emergency operations due to papillary muscle rupture, and 18 with active infective endocarditis underwent urgent surgery. Results Cardiopulmonary bypass time (141.4 ± 43.3 versus 145.3 ± 46.5 min) and crossclamp time (77.7 ± 34.1 versus 79.2 ± 33.0 min) were similar in the papillary muscle rupture and elective ischemic mitral regurgitation subgroups, and major postoperative complications were comparable. Hospital mortality was 17.4% in the papillary muscle rupture subgroup and 8.4% in the elective ischemic mitral regurgitation subgroup. Cardiopulmonary bypass time (103.6 ± 37.0 versus 75.5 ± 20.8 min) and crossclamp time (61.7 ± 21.2 versus 45.3 ± 18.0 min) were significantly longer in infective endocarditis patients. There were no major complications or hospital deaths. Eight years postoperatively, overall survival was 94.4% and 86.5% in the papillary muscle rupture and elective ischemic mitral regurgitation subgroups, respectively ( p = 0.730). Overall survival was 100% in both infective endocarditis subgroups. Conclusion The feasibility and effectiveness of emergency or urgent mitral valve repair in patients with papillary muscle rupture and active infective endocarditis are satisfactory. Early and mid-term outcomes are comparable to those of elective operations.

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