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

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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


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


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