Cannata Francesco, Sanz-Sánchez Jorge, Cozzi Ottavia, Briani Martina, Bertoldi Letizia, Fazzari Fabio, Ferrante Giuseppe, Corrada Elena, Bragato Renato M, Stefanini Giulio G, Pagnotta Paolo G, Reimers Bernhard, Regazzoli Damiano
Dipartimento di Scienze Biomediche, Humanitas University, Pieve Emanuele (MI) - U.O. Ecocardiografia.
Dipartimento di Scienze Biomediche, Humanitas University, Pieve Emanuele (MI).
G Ital Cardiol (Rome). 2021 Mar;22(3 Suppl 1):32S-38S. doi: 10.1714/3578.35632.
Acute mitral regurgitation is a life-threatening pathology. Nowadays, percutaneous mitral valve repair with the MitraClip device offers, in selected patients, a safe and effective therapeutic alternative to open surgery. Hereby, we report the case of an 82-year-old woman with lateral ST-elevation myocardial infarction determining severe acute mitral regurgitation, who was treated with an urgent MitraClip procedure. Moreover, we discuss echocardiographic assessment of acute mitral regurgitation and we review available literature and possible management of this complex scenario.
急性二尖瓣反流是一种危及生命的病理状况。如今，对于部分患者而言，使用MitraClip装置进行经皮二尖瓣修复术为开胸手术提供了一种安全有效的治疗替代方案。在此，我们报告一例82岁女性患者，其因侧壁ST段抬高型心肌梗死导致严重急性二尖瓣反流，接受了紧急MitraClip手术治疗。此外，我们讨论了急性二尖瓣反流的超声心动图评估，并回顾了现有文献以及针对这一复杂情况的可能处理方法。
