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Review
. 2022 Sep 21;11(19):5526.
doi: 10.3390/jcm11195526.

Acute Ischaemic Mitral Valve Regurgitation

Breda Hennessey  1 , Nestor Sabatovicz Jr  2 , Maria Del Trigo  3
Affiliations
Review

Acute Ischaemic Mitral Valve Regurgitation

Breda Hennessey et al. J Clin Med. .

Abstract

Acute ischaemic mitral regurgitation (IMR) is an increasingly rare and challenging complication following acute myocardial infarction. Despite recent technical advances in both surgical and percutaneous interventions, a poor prognosis is often associated with this challenging patient cohort. In this review, we revisit the diagnosis and typical echocardiographic features, and evaluate current surgical and percutaneous treatment options for patients with acute IMR.

Keywords: acute mitral regurgitation; acute myocardial infarction; percutaneous edge-to edge repair.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
(A) Transoesophageal echocardiographic four chamber mid oesophageal view illustrating a flail posterior mitral valve leaflet with ruptured chordae (white arrow). (B) Colour Doppler demonstrating an eccentric jet of severe mitral regurgitation.
Figure 2
Figure 2
Transoesophageal echocardiographic short axis 3D view (surgical view) illustrating anterior leaflet prolapse (white arrow).
Figure 3
Figure 3
(A) Transoesophageal echocardiographic: colour Doppler demonstrating severe mitral regurgitation in a patient with acute MR. (B) Transoesophageal echocardiographic: grasping with a MitraClip XT device. (C) Transoesophageal echocardiographic: final result: trace MR.
See this image and copyright information in PMC

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