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 ...
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