Heart Views

CASE REPORT
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


Ibrar Anjum1, Umer Zia1, Sheraz Anjum1, Shalin Patel2 
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
USA

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.


How to cite this article:
Anjum I, Zia U, Anjum S, Patel S. Acute mitral regurgitation with unilateral left-sided pulmonary edema: A complication of stemi treated successfully with a mitraclip procedure.Heart Views 2023;24:160-162


How to cite this URL:
Anjum I, Zia U, Anjum S, Patel S. Acute mitral regurgitation with unilateral left-sided pulmonary edema: A complication of stemi treated successfully with a mitraclip procedure. Heart Views [serial online] 2023 [cited 2023 Dec 6 ];24:160-162
Available from: https://www.heartviews.org/article.asp?issn=1995-705X;year=2023;volume=24;issue=3;spage=160;epage=162;aulast=Anjum;type=0