MitraClip implantation after acute ischemic papillary muscle rupture in a patient with prolonged cardiogenic shock
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MitraClip implantation after acute ischemic papillary muscle rupture in a patient with prolonged cardiogenic shock. / Bahlmann, Edda; Frerker, Christian; Kreidel, Felix; Thielsen, Thomas; Ghanem, Alexander; van der Schalk, Hendrick; Grahn, Hanno; Kuck, Karl-Heinz.
In: ANN THORAC SURG, Vol. 99, No. 2, 02.2015, p. 41-42.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - MitraClip implantation after acute ischemic papillary muscle rupture in a patient with prolonged cardiogenic shock
AU - Bahlmann, Edda
AU - Frerker, Christian
AU - Kreidel, Felix
AU - Thielsen, Thomas
AU - Ghanem, Alexander
AU - van der Schalk, Hendrick
AU - Grahn, Hanno
AU - Kuck, Karl-Heinz
N1 - Copyright © 2015 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
PY - 2015/2
Y1 - 2015/2
N2 - Papillary muscle rupture is a rare but potentially lethal complication of acute myocardial infarction. We report a 77-year-old man who presented to the emergency department with dyspnea and nausea and acute onset of severe back pain 3 days earlier. Owing to rapid deterioration of his hemodynamic and respiratory situation, the patient was immediately transferred to the intensive care unit. Intubation and catecholamine support became necessary to stabilize hemodynamics. Echocardiography revealed severe mitral regurgitation due to a complete rupture of the posterior papillary muscle. Despite treatment extension to intraaortic balloon counterpulsation, the patient continued to be in cardiogenic shock. Because the patient was rejected for surgical intervention, he underwent successful emergency MitraClip (Abbott Vascular, Santa Clara, CA) implantation and was discharged from hospital in good clinical condition. This report suggests that MitraClip implantation is a safe and effective alternative treatment option in this devastating disorder.
AB - Papillary muscle rupture is a rare but potentially lethal complication of acute myocardial infarction. We report a 77-year-old man who presented to the emergency department with dyspnea and nausea and acute onset of severe back pain 3 days earlier. Owing to rapid deterioration of his hemodynamic and respiratory situation, the patient was immediately transferred to the intensive care unit. Intubation and catecholamine support became necessary to stabilize hemodynamics. Echocardiography revealed severe mitral regurgitation due to a complete rupture of the posterior papillary muscle. Despite treatment extension to intraaortic balloon counterpulsation, the patient continued to be in cardiogenic shock. Because the patient was rejected for surgical intervention, he underwent successful emergency MitraClip (Abbott Vascular, Santa Clara, CA) implantation and was discharged from hospital in good clinical condition. This report suggests that MitraClip implantation is a safe and effective alternative treatment option in this devastating disorder.
KW - Acute Disease
KW - Aged
KW - Heart Rupture, Post-Infarction/etiology
KW - Humans
KW - Male
KW - Papillary Muscles
KW - Prosthesis Implantation
KW - Shock, Cardiogenic/complications
KW - Time Factors
U2 - 10.1016/j.athoracsur.2014.09.075
DO - 10.1016/j.athoracsur.2014.09.075
M3 - SCORING: Journal article
C2 - 25639443
VL - 99
SP - 41
EP - 42
JO - ANN THORAC SURG
JF - ANN THORAC SURG
SN - 0003-4975
IS - 2
ER -
