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- Title
Acute Mitral Regurgitation with Unilateral Left-Sided Pulmonary Edema: A Complication of STEMI Treated Successfully with a MitraClip Procedure.
- Authors
Anjum, Ibrar; Zia, Umer; Anjum, Sheraz; Patel, Shalin
- Abstract
A 67-year-old man with inferior wall ST-segment elevation myocardial infarction underwent Impella-assisted percutaneous coronary intervention complicated by unilateral left-sided pulmonary edema and cardiogenic shock due to severe mitral valve regurgitation. Surgery was deferred due to hemodynamic instability and a high risk of mortality, so he underwent a MitraClip procedure. Mitral regurgitation (MR) is a catastrophic mechanical complication of myocardial infarction that leads to the development of pulmonary edema, cardiogenic shock, and death. After the procedure, the patient significantly reduces MR with a resolution of pulmonary edema. Acute MR can rarely present as a unilateral left-sided pulmonary edema delaying diagnosis and treatment. Transcatheter edge-to-edge repair can be a safe alternative for patients who are at high risk for surgery.
- Subjects
INTRA-aortic balloon counterpulsation; MITRAL valve insufficiency; PULMONARY edema; ST elevation myocardial infarction; CARDIOGENIC shock; PERCUTANEOUS coronary intervention
- Publication
Heart Views, 2023, Vol 24, Issue 3, p160
- ISSN
1995-705X
- Publication type
Article
- DOI
10.4103/heartviews.heartviews_108_22