Page 504 - Read Online

Cannata et al. Mini-invasive Surg 2020;4:53 I http://dx.doi.org/10.20517/2574-1225.2020.41 Page 11 of 17

6-month NYHA I MR grade = 1+ 3-month MR grade = 2+ (eccentric) No HF symptoms Deaths = 1 (20%) Median follow-up = 317 days NYHA class • I = 1 (20%) • II = 3 (60%) MR grade • 2+ = 2 (40%) • 1+ = 2 (40%)

Alive (postop day 3) Alive (due to MOF 1 week after MitraClip)

Device success = Median sPAP = 38 mmHg No major complications

- - 5/5
1 XTR clip (A2- P2) MR grade = 1+ MV MG = 1 mmHg Mean LAP = 10 mmHg v-wave = 12 mmHg, CO = 4.9 L/min CI = 2.8 L/min/m 2 2 clip XTR (A2- P2) MR grade = 1-2+ MV MG = 3 mmHg MV area = 2.94 cm 2 V wave = 17 mmHg N of clips: 1 clip = 1 • (20%) 2 clips = 3 • (60%) 3 clips = 1 • (20%) MV area > 1.5 cm 2 = 5 (100%) MV MG < 5 mmHg = 5 (100%) MR grade ≤ 2+ = 5 (100%)

Cardiogenic shock and pulmonary edema Impella CP, then exchanged with IABP plus inotropes Mean LAP = 22 mmHg v-wave = 60 mmHg CO = 3.7 L/min CI = 1.8 L/min/m 2 Pulmonary edema, cardiogenic shock and acute kidney injury IABP and vasopressors V wave = 50 mmHg Cardiogenic shock = 3 NYHA IV = 2 Median Euroscore IABP or inotropes = 4 Median sPAP = 62 mmHg

70-year-old male LVEF = 60% STS score = 14.3% 55-year-old male LVEF = 55% N of patients = 5 Age = 51 – 76 years = 29.1% 5/187 MitraClip procedures (2.7%) Period: 10/2010- 01/2015

Lateral NSTEMI, successful primary PCI of proximal and mid- circumflex artery Complete rupture of posteromedial papillary muscle with flail of P2- P3 Inferior STEMI, successful primary PCI of culprit single-vessel disease Posteromedial papillary muscle rupture with anteriorly directed eccentric jet Coaptation gap = 1 cm MV area = 6.2 cm 2 MV MG = 3 mmHg AMI without papillary muscle rupture: • 2 STEMI • 3 NSTEMI Days bet

Villablanca et al. [38] Komatsu et al. [28] Estévez-Loureiro et al. [39]

Successful MitraClip XTR for Torrential Mitral Regurgitation Secondary to Papillary Muscle Rupture as a Complication of Acute Myocardial Infarction Transcatheter Mitral Valve Edge-to-Edge Repair with the New MitraClip XTR System for Acute Mitral Regurgitation Caused by Papillary Muscle Rupture Case series or registries Percutaneous Mitral Valve Repair for Acute Mitral Regurgitation After an Acute Myocardial Infarction