Insuficiencia mitral isquémica: desde la central de emergencias a la recuperación cardiovascular.
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| Title: | Insuficiencia mitral isquémica: desde la central de emergencias a la recuperación cardiovascular. |
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| Alternate Title: | Ischemic mitral regurgitation: from the emergency room to the cardiac surgery recovery unit. |
| Authors: | Iroulart, Juan M.1 (AUTHOR) juan.iroulart@hospitalitaliano.org.ar, Lagoria, Juan I.1 (AUTHOR), Bluro, Ignacio M.1 (AUTHOR), Miceli, Ana L.1 (AUTHOR), Bergier, Mariano G.1 (AUTHOR), Posatini, Ricardo2 (AUTHOR), Pizarro, Rodolfo1 (AUTHOR) |
| Source: | Medicina (Buenos Aires). jul/ago2025, Vol. 85 Issue 4, p869-873. 5p. |
| Subjects: | MITRAL valve insufficiency, ACUTE coronary syndrome, CARDIOGENIC shock, MITRAL valve, EXTRACORPOREAL membrane oxygenation, CARDIAC rehabilitation, ENHANCED recovery after surgery protocol |
| Abstract (English): | We present the case of a 69-year-old male with no cardiovascular history, who was admitted to the emer gency department due to acute coronary syndrome with ST elevation and cardiogenic shock. Immediately after the percutaneous coronary intervention, he developed a greater requirement of vasopressors, the addition of inotropes, and an increase in oxygen supply by me chanical respiratory assistance. An echocardiogram was performed, which showed acute ischemic mitral regur gitation due to complete rupture of the posteromedial papillary muscle. Under ventricular assistance with a counterpulsation balloon, a mitral valve replacement was decided, and he left the operating room with ex tracorporeal membrane for oxygenation (ECMO). During the postoperative period, the patient evolved adequately, achieving the retirement of the ECMO at 72 hours with good hemodynamic tolerance. Respiratory weaning was prolonged. Once pulmonary rehabilitation was com pleted, he was discharged from the hospital. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Se presenta el caso de un hombre de 69 años sin antecedentes cardiovasculares, que ingresó a la central de emergencias por un síndrome coronario agudo con elevación del ST en shock cardiogénico. Inmediatamen te después de la angioplastia transluminal coronaria, evolucionó con mayor requerimiento de vasopresores, agregado de inotrópicos y aumento del aporte de oxí geno por la asistencia respiratoria mecánica. Se realizó ecocardiograma que evidenció una insuficiencia mitral isquémica aguda grave por rotura completa de músculo papilar posteromedial. Bajo asistencia ventricular con balón de contrapulsación, se decidió realizar reemplazo valvular mitral y egresó del quirófano con membrana de oxigenación extracorpórea (ECMO). Durante el posto peratorio, evolucionó adecuadamente pudiendo lograr la decanulación del ECMO a las 72 horas con buena tolerancia hemodinámica. El weaning respiratorio fue prolongado. Una vez completa la rehabilitación pulmo nar, se otorgó el alta hospitalaria. [ABSTRACT FROM AUTHOR] |
| Copyright of Medicina (Buenos Aires) is the property of Medicina (Buenos Aires) and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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| Abstract: | We present the case of a 69-year-old male with no cardiovascular history, who was admitted to the emer gency department due to acute coronary syndrome with ST elevation and cardiogenic shock. Immediately after the percutaneous coronary intervention, he developed a greater requirement of vasopressors, the addition of inotropes, and an increase in oxygen supply by me chanical respiratory assistance. An echocardiogram was performed, which showed acute ischemic mitral regur gitation due to complete rupture of the posteromedial papillary muscle. Under ventricular assistance with a counterpulsation balloon, a mitral valve replacement was decided, and he left the operating room with ex tracorporeal membrane for oxygenation (ECMO). During the postoperative period, the patient evolved adequately, achieving the retirement of the ECMO at 72 hours with good hemodynamic tolerance. Respiratory weaning was prolonged. Once pulmonary rehabilitation was com pleted, he was discharged from the hospital. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 00257680 |
