The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

How should i treat?

How should I treat refractory cardiogenic shock in a patient with chronic biventricular heart failure and mitral regurgitation with difficult valve characteristics?

EuroIntervention 2016;11:1201-1206. DOI: 10.4244/EIJV11I10A238

1. Insuffisance Cardiaque et Valvulopathies, AP-HM, Hôpital Timone, Marseille, France; 2. Cardiologie Interventionnelle, AP-HM, Hôpital Timone, Marseille, France


CASE SUMMARY



BACKGROUND: A 74-year-old man with end-stage heart failure and biventricular systolic dysfunction was admitted for cardiogenic shock. The functional mitral regurgitation was severe with difficult valve characteristics and the cardiogenic shock was refractory to the initial medical treatment.

INVESTIGATION: Physical examination, transthoracic and transoesophageal echocardiography.

DIAGNOSIS: Refractory cardiogenic shock complicating end-stage heart failure in a patient with biventricular systolic dysfunction and severe mitral regurgitation with difficult valve characteristics.

MANAGEMENT: Intra-aortic balloon pump (IABP), MitraClip.

KEYWORDS: biventricular failure, cardiogenic shock, functional mitral regurgitation, intra-aortic balloon pump (IABP), MitraClip

PRESENTATION OF THE ...

Sign in to read and download the full article

Forgot your password?
No account yet? Sign up for free!
Create my pcr account

Join us for free and access thousands of articles from EuroIntervention, as well as presentations, videos, cases from PCRonline.com

Read next article

Cherry picking into the digital age!