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Review
. 2023 Jan-Mar;24(1):29-40.
doi: 10.4103/heartviews.heartviews_73_22. Epub 2023 Feb 23.

Transcatheter Mitral Valve Repair in Acute and Critical Cardiac Conditions

Rasha Kaddoura  1 , Mohammed Al-Hijji  2
Affiliations
Review

Transcatheter Mitral Valve Repair in Acute and Critical Cardiac Conditions

Rasha Kaddoura et al. Heart Views. 2023 Jan-Mar.

Abstract

Acute mitral valve regurgitation (MR) is an emergency condition that requires an early diagnosis of the etiology and rapid management. Surgical intervention is the first-line treatment for acute severe MR. However, many patients are denied surgical intervention due to the acute risk of surgery. Transcatheter mitral valve repair (TMVr) is a less invasive technique and becoming a potential alternative to surgery in inoperable patients but is underrepresented in the literature. This review aims to discuss the published data on the use of TMVr in unstable MR patients presenting with acute or critical cardiac conditions.

Keywords: Cardiogenic shock; MitraClip®; decompensated heart failure; mitral regurgitation; papillary muscle rupture; percutaneous mitral valve intervention; transcatheter edge-to-edge repair.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Clinical, hemodynamic, and diagnostic characteristics of acute mitral regurgitation. Panel A: Characteristics details; Panel B: Basic mechanisms leading to symptoms. ACS: Acute coronary syndrome; AV: Aortic valve, CO: Cardiac output, CS: Cardiogenic shock, CVP: Central venous pressure, LVEF: Left ventricular ejection fraction, LA: Left atrial/atrium, LV: Left ventricle/ventricular, LVEDP: Left ventricular end-diastolic pressure, MR: Mitral valve regurgitation, MV: Mitral valve, PMR: Papillary muscle rupture, RV: Regurgitant volume, SV: Stroke volume
Figure 2
Figure 2
General approach to the management of acute mitral regurgitation. CAG: Coronary angiogram, CXR: Chest X-ray, ECG: Electrocardiogram, HF: Heart failure, MR: Mitral valve regurgitation, MV: Mitral valve, PMR: Papillary muscle rupture, TEE: Transesophageal echocardiogram, TTE: Transthoracic echocardiogram
See this image and copyright information in PMC

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