Why the study?
Does urgent transventricular off-pump MV repair with artificial neochords stabilize high-risk patients with acute MR due to post-MI PMR?
Does urgent transventricular off-pump MV repair with artificial neochords stabilize high-risk patients with acute MR due to post-MI PMR?
Off-pump transventricular MV repair with artificial neochords is feasible as a bridge to conventional surgery in unstable patients with acute MR due to post-MI papillary muscle rupture, though early MR recurrence is universal.
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Cautions against durable standalone repair; leaves open bridge-to-surgery role for off-pump neochords in unstable post-MI PMR.
Budra et al. (2021) studied this question.
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