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Management of Severe Mitral Regurgitation in Patients With Acute Myocardial Infarction: JACC Focus Seminar 2/5.
Estévez-Loureiro, Rodrigo; Lorusso, Roberto; Taramasso, Maurizio; Torregrossa, Gianluca; Kini, Annapoorna; Moreno, Pedro R.
Afiliación
  • Estévez-Loureiro R; Department of Interventional Cardiology, University Hospital Alvaro Cunqueiro, Vigo, Spain. Electronic address: roiestevez@hotmail.com.
  • Lorusso R; Cardio-Thoracic Surgery Department, Heart and Vascular Centre, Maastricht University Medical Centre, Maastricht, the Netherlands; Cardiovascular Research Institute Maastricht (CARIM), Maastricht, the Netherlands.
  • Taramasso M; Division of Cardiac Surgery, HerzZenztum Hirslanden Zurich, Switzerland.
  • Torregrossa G; Department of Cardiothoracic Surgery, Lankenau Heart Institute, Wynnewood, Pennsylvania, USA; Department of Cardiothoracic Surgery, Lankenau Institute for Medical Research, Wynnewood, Pennsylvania, USA.
  • Kini A; Mount Sinai Fuster Heart Hospital, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
  • Moreno PR; Mount Sinai Fuster Heart Hospital, Icahn School of Medicine at Mount Sinai, New York, New York, USA. Electronic address: pedro.moreno@mountsinai.org.
J Am Coll Cardiol ; 83(18): 1799-1817, 2024 May 07.
Article en En | MEDLINE | ID: mdl-38692830
ABSTRACT
Severe acute mitral regurgitation after myocardial infarction includes partial and complete papillary muscle rupture or functional mitral regurgitation. Although its incidence is <1%, mitral regurgitation after acute myocardial infarction frequently causes hemodynamic instability, pulmonary edema, and cardiogenic shock. Medical management has the worst prognosis, and mortality has not changed in decades. Surgery represents the gold standard, but it is associated with high rates of morbidity and mortality. Recently, transcatheter interventions have opened a new door for management that may improve survival. Mechanical circulatory support restores vital organ perfusion and offers the opportunity for a steadier surgical repair. This review focuses on the diagnosis and the interventional management, both surgical and transcatheter, with a glance on future perspectives to enhance patient management and eventually decrease mortality.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Insuficiencia de la Válvula Mitral / Infarto del Miocardio Límite: Humans Idioma: En Revista: J Am Coll Cardiol Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Insuficiencia de la Válvula Mitral / Infarto del Miocardio Límite: Humans Idioma: En Revista: J Am Coll Cardiol Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos