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- Title
The use of veno-veno-arterial ECMO as a successful strategy in acute mitral regurgitation secondary to papillary muscle rupture causing cardiogenic shock and profound hypoxemia: a case report.
- Authors
Al-Sarraf, Nael; Maher, Adel; Muddaiah, Nanda Kishore; Agzamov, Yuldash; Jabbour, Nawar
- Abstract
Acute mitral regurgitation (MR) secondary to papillary muscle rupture is a rare mechanical complication of acute myocardial infarction occurring in 0.05–0.26% of all cases of myocardial infarction. The only treatment is emergency mitral valve surgery with high operative mortality reaching up to 39%. The use of extracorporeal membrane oxygenator (ECMO) as a stabilization strategy and a bridge to recovery may potentially improve the outcome of such cases. Here, we report a case of acute MR presenting with cardiogenic shock and severe hypoxia that required insertion of veno-veno-arterial ECMO initially and followed by emergency mitral valve replacement. This strategy proved useful with full recovery of the patient.
- Subjects
MITRAL valve insufficiency; MUSCLE injuries; PAPILLARY muscles; CARDIOGENIC shock; MYOCARDIAL infarction; MITRAL valve surgery; MITRAL valve
- Publication
Journal of Surgical Case Reports, 2024, Vol 2024, Issue 6, p1
- ISSN
2042-8812
- Publication type
Case Study
- DOI
10.1093/jscr/rjae408