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Case Report | Volume 27 Issue 1 (, 2022) | Pages 114 - 116
MitraClip® Repair in Cardiogenic Shock Due to Acute Mitral Regurgitation: From Near-Death to Walking
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1
Cardiology Department, Cardiovascular Institute (ICCV), Hospital Clínic, IDIBAPS, University of Barcelona, Barcelona, Spain.
2
Cardiology Department, Cardiovascular Institute (ICCV), Hospital Clínic, IDIBAPS, University of Barcelona, Barcelona, Spain. Electronic correspondence: freixa@clinic.ub.es.
3
Respiratory Diagnostic Center, Hospital Clínic, University of Barcelona, Barcelona, Spain.
4
Anesthesiology Department, Hospital Clínic, University of Barcelona, Barcelona, Spain.
Under a Creative Commons license
PMID : -30560609
Published
Jan. 10, 2018
Abstract

A patient with ischemic myocardiopathy who had undergone resynchronization therapy was admitted to the authors' institution with progressive dyspnea. Echocardiography demonstrated a left ventricular ejection fraction (LVEF) of 25%, with a massive mitral regurgitation (MR) secondary to anterior leaflet prolapse and posterior leaflet restriction. Despite intensive medical treatment, the patient developed cardiogenic shock and required mechanical ventilation, inotropic support and intra-aortic balloon pumping. The patient was rejected for surgery due to the high operative risk, but subsequently underwent a successful percutaneous repair with two MitraClip® devices. Immediately after the intervention there was a progressive improvement that allowed the patient to be discharged, such that the clinical outcome was favorable at the six-month follow up (NYHA class II/IV). This case report describes the benefits of minimally invasive therapy in selected patients who are at very high surgical risk and who, despite being in a critical condition and with low LVEF, experience an outstanding clinical improvement following the resolution of a massive MR.

 

 

 

How to cite: Hernández-Enríquez, M., Freixa, X., Sanchis, L., Regueiro, A., Burgos, F., Navarro, R., Masotti, M., Sitges, M., & Sabaté, M. (2018). MitraClip® Repair in Cardiogenic Shock Due to Acute Mitral Regurgitation: From Near-Death to Walking. The Journal of heart valve disease27(1), 114–116.

 
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