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Percutaneous mitral valve repair as rescue procedure after post myocardial infarction papillary muscle rupture and acute cardiogenic shock

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    Boekstegers P, Hausleiter J, Baldus S, von Bardeleben RS, Beucher H, Butter C, Franzen O, Hoffmann R, Ince H, Kuck KH, Rudolph V, Schafer U, Schillinger W, Wunderlich N (2014) Percutaneous interventional mitral regurgitation treatment using the mitra-clip system. Clin Res Cardiol 103:85–96

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Acknowledgments

We specially thank Emma Schwarzlaender as native speaker for critically reviewing the manuscript for spellings and sentence structure.

Conflict of interest

P. Boekstegers is proctor for Abbott Vascular and has received speaker’s fee from Abbot Vascular. All other authors have no disclosures.

Author information

Correspondence to Jan C. Horstkotte.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Video 1: TEE shows the ruptured anterior papillary muscle floating between left ventricle and left atrium. (MPEG 855 kb)

Video 2: Color duplex TEE: Severe mitral valve regurgitation with a massive jet following the lateral left atrial wall, originated in a large gap due to co-adaption defect of the mitral leaflets. (MPEG 292 kb)

Video 3: After placement of two MitraClips trapping the free papillary muscle the mitral regurgitation could be reduced to a minimal MR, showing only a trace in the color duplex TEE. (MPEG 414 kb)

Video 4: (TEE 60°) In nine month follow up the TEE color duplex sonography shows only a minor deterioration of the mitral regurgitation with three small regurgitation jets and a slightly decreased LV-function. (AVI 1257 kb)

Video 5: (TEE 60°) The trapped PM could be detected in a stable position below the AML after 9 month. (AVI 6202 kb)

Video 1: TEE shows the ruptured anterior papillary muscle floating between left ventricle and left atrium. (MPEG 855 kb)

Video 2: Color duplex TEE: Severe mitral valve regurgitation with a massive jet following the lateral left atrial wall, originated in a large gap due to co-adaption defect of the mitral leaflets. (MPEG 292 kb)

Video 3: After placement of two MitraClips trapping the free papillary muscle the mitral regurgitation could be reduced to a minimal MR, showing only a trace in the color duplex TEE. (MPEG 414 kb)

Video 4: (TEE 60°) In nine month follow up the TEE color duplex sonography shows only a minor deterioration of the mitral regurgitation with three small regurgitation jets and a slightly decreased LV-function. (AVI 1257 kb)

Video 5: (TEE 60°) The trapped PM could be detected in a stable position below the AML after 9 month. (AVI 6202 kb)

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Horstkotte, J.C., Horstkotte, M., Beucher, H. et al. Percutaneous mitral valve repair as rescue procedure after post myocardial infarction papillary muscle rupture and acute cardiogenic shock. Clin Res Cardiol 104, 275–278 (2015) doi:10.1007/s00392-014-0789-9

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Keywords

  • Papillary Muscle
  • Cardiogenic Shock
  • Fractional Shorten
  • Posterior Leaflet
  • Supplemental Video