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Year : 2023  |  Volume : 24  |  Issue : 3  |  Page : 160-162

Acute mitral regurgitation with unilateral left-sided pulmonary edema: A complication of stemi treated successfully with a mitraclip procedure

1 Department of Internal Medicine, Vassar Brothers Medical Center Poughkeepsie, New York, USA
2 Department of Cardiology, Vassar Brothers Medical Center Poughkeepsie, New York, USA

Correspondence Address:
Dr. Ibrar Anjum
Department of Internal Medicine, Nuvance Health – Vassar Brothers Medical Center, Poughkeepsie, NY
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/heartviews.heartviews_108_22

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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.

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