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This case report describes the use of totally endoscopic minimally invasive mitral valvuloplasty on a beating heart for a patient with papillary muscle rupture and cardiogenic shock following an acute myocardial infarction.
A 64-year-old man who presented with papillary muscle rupture (PMR) after acute myocardial infarction and cardiogenic shock was emergency transferred to our institution with the support of intra-aortic balloon pump (IABP) and extracorporeal membrane oxygenation (ECMO). The patient had undergone percutaneous coronary intervention 3 days earlier for acute right coronary artery occlusion. Electrocardiogram on admission revealed acute inferior myocardial infarction. Chest radiograph revealed acute pulmonary edema (Figure 1, A).
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Huang et al. (2023) studied this question.
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