Cardiogenic shock and severe secondary mitral regurgitation successfully treated with transcatheter edge-to-edge repair: a case report.
Muhammad Asim ShabbirNidhish TiwariAdam BurdorfMichael MoultonPoonam VelagapudiPublished in: European heart journal. Case reports (2023)
Cardiogenic shock complicated by severe MR carries high mortality. With severe MR, the forward stroke volume is lower than the stated EF leading to poor organ perfusion. Inotropes and/or mechanical circulatory support devices are paramount for initial stabilization; however, they do not treat underlying MR. Transcatheter edge-to-edge repair with MitraClip has been shown to improve survival in CS patients with severe MR in observational studies. However, prospective trials are lacking. Our case demonstrates the utility of MitraClip to treat severe secondary MR refractory to medical therapy in a CS patient. The heart team must evaluate risks and benefits of this therapy in CS patients.
Keyphrases
- contrast enhanced
- early onset
- magnetic resonance
- healthcare
- mitral valve
- end stage renal disease
- magnetic resonance imaging
- heart failure
- atrial fibrillation
- newly diagnosed
- risk factors
- stem cells
- type diabetes
- chronic kidney disease
- coronary artery disease
- climate change
- blood brain barrier
- peritoneal dialysis
- subarachnoid hemorrhage