Percutaneous coronary intervention for acute myocardial infarction with mitral regurgitation.
Percutaneous coronary intervention for acute myocardial infarction with mitral regurgitation.
复制标题
经皮冠状动脉介入治疗急性心肌梗死合并二尖瓣关闭不全
DOI：
10.11909/j.issn.1671-5411.2016.06.010
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发表时间：
2016-09
期刊：
影响因子：
--
通讯作者：
Li JY
中科院分区：
文献类型：
--
作者：
Tu Y;Zeng QC;Huang Y;Li JY
缺血性二尖瓣返流（IMR）是急性心肌梗死（AMI）的常见并发症。目前的证据表明，通过经皮冠状动脉介入治疗（PCI）或冠状动脉旁路移植术对罪犯血管进行血运重建可以有益于缓解IMR。1例61岁男性ST段抬高型AMI合并IMR患者，随访2.5年，术后5天二尖瓣返流面积增大，3个月后降至较低稳定水平。提示PCI术后3个月是评价IMR恢复的可能性和二尖瓣外科干预的必要性的合适时间点。
Ischemic mitral regurgitation (IMR) is a common complication of acute myocardial infarction (AMI). Current evidences suggest that revascularization of the culprit vessels with percutaneous coronary artery intervention (PCI) or coronary artery bypass grafting can be beneficial for relieving IMR. A 2.5-year follow-up data of a 61-year-old male patient with ST-segment elevation AMI complicated with IMR showed that mitral regurgitation area increased five days after PCI, and decreased to lower steady level three months after PCI. This finding suggest that three months after PCI might be a suitable time point for evaluating the possibility of IMR recovery and the necessity of surgical intervention of the mitral valve for AMI patient.