{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T16:17:25Z","timestamp":1778084245498,"version":"3.51.4"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2024,6,6]],"date-time":"2024-06-06T00:00:00Z","timestamp":1717632000000},"content-version":"vor","delay-in-days":5,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,6,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Acute mitral regurgitation (MR) secondary to papillary muscle rupture is a rare mechanical complication of acute myocardial infarction occurring in 0.05\u20130.26% of all cases of myocardial infarction. The only treatment is emergency mitral valve surgery with high operative mortality reaching up to 39%. The use of extracorporeal membrane oxygenator (ECMO) as a stabilization strategy and a bridge to recovery may potentially improve the outcome of such cases. Here, we report a case of acute MR presenting with cardiogenic shock and severe hypoxia that required insertion of veno-veno-arterial ECMO initially and followed by emergency mitral valve replacement. This strategy proved useful with full recovery of the patient.<\/jats:p>","DOI":"10.1093\/jscr\/rjae408","type":"journal-article","created":{"date-parts":[[2024,6,6]],"date-time":"2024-06-06T12:21:07Z","timestamp":1717676467000},"source":"Crossref","is-referenced-by-count":2,"title":["The use of veno-veno-arterial ECMO as a successful strategy in acute mitral regurgitation secondary to papillary muscle rupture causing cardiogenic shock and profound hypoxemia: a case report"],"prefix":"10.1093","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7095-8244","authenticated-orcid":false,"given":"Nael","family":"Al-Sarraf","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, Dabbous Cardiac Center, Adan Hospital , Kuwait City, Kuwait"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adel","family":"Maher","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Dabbous Cardiac Center, Adan Hospital , Kuwait City, Kuwait"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nanda Kishore","family":"Muddaiah","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Critical Care, Dabbous Cardiac Center, Adan Hospital , Kuwait City, Kuwait"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuldash","family":"Agzamov","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Critical Care, Dabbous Cardiac Center, Adan Hospital , Kuwait City, Kuwait"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nawar","family":"Jabbour","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Critical Care, Dabbous Cardiac Center, Adan Hospital , Kuwait City, Kuwait"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,6,6]]},"reference":[{"key":"2024060612053559400_ref1","doi-asserted-by":"crossref","first-page":"1386","DOI":"10.1111\/aor.14541","article-title":"Extracorporeal life support in mitral papillary muscle rupture: outcome of multicenter study","volume":"47","author":"Massimi","year":"2023","journal-title":"Artif Organs"},{"key":"2024060612053559400_ref2","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1016\/j.ejcts.2004.04.027","article-title":"Perioperative outcome and long-term survival of surgery for acute post-infarction mitral regurgitation","volume":"26","author":"Chevalier","year":"2004","journal-title":"Eur J Cardiothorac Surg"},{"key":"2024060612053559400_ref3","doi-asserted-by":"crossref","first-page":"820","DOI":"10.1016\/j.athoracsur.2012.10.050","article-title":"Clinical outcome after mitral valve surgery due to ischemic papillary muscle rupture","volume":"95","author":"Schroeter","year":"2013","journal-title":"Ann Thorac Surg"},{"key":"2024060612053559400_ref4","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1093\/ehjcr\/ytz234","article-title":"Emergent TandemHeart-ECMO for acute severe mitral regurgitation with cardiogenic shock and hypoxaemia: a case series","volume":"4","author":"DiVita","year":"2020","journal-title":"Eur Heart J Case Rep"},{"key":"2024060612053559400_ref5","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1093\/icvts\/ivv035","article-title":"Veno-veno-arterial extracorporeal membrane oxygenation for respiratory failure with severe haemodynamic impairment: technique and early outcomes","volume":"20","author":"Ius","year":"2015","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"2024060612053559400_ref6","doi-asserted-by":"crossref","first-page":"e82","DOI":"10.1016\/j.jtcvs.2014.03.003","article-title":"Extracorporeal membrane oxygenation as a bridge to surgery for ischemic papillary muscle rupture","volume":"147","author":"Obadia","year":"2014","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2024060612053559400_ref7","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1016\/j.jsha.2017.10.001","article-title":"Veno-arterial extracorporeal membrane oxygenation as a bridge for enabling surgery in a patient under cardiogenic shock due to acute mitral prosthesis dysfunction","volume":"30","author":"Arn\u00e1iz-Garc\u00eda","year":"2018","journal-title":"J Saudi Heart Assoc"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/6\/rjae408\/58137235\/rjae408.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/6\/rjae408\/58137235\/rjae408.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,6]],"date-time":"2024-06-06T12:21:14Z","timestamp":1717676474000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjae408\/7688815"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6]]},"references-count":7,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,6,3]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjae408","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,6]]},"published":{"date-parts":[[2024,6]]},"article-number":"rjae408"}}