Cardiogenic shock: A look at acute functional mitral incompetence.
نویسندگان
چکیده
A 44-year-old man presented with cardiogenic shock secondary to acute functional mitral incompetence as well as septic shock related to pneumonia. The patient deteriorated haemodynamically despite adequate medical therapy. An echocardiogram revealed a massive mitral incompetence and an ejection fraction of 32%. An intra-aortic balloon pump was placed and the patient improved dramatically. On day 6 after admission the echocardiogram was repeated, revealing a mild mitral incompetence and an ejection fraction of 58%.
منابع مشابه
Double valve replacement for acute spontaneous left chordal rupture secondary to chronic aortic incompetence
A 54 years old male with undiagnosed chronic calcific degenerative aortic valve incompetence presented with acute left anterior chordae tendinae rupture resulting in severe left heart failure and cardiogenic shock. He was successfully treated with emergency double valve replacement using mechanical valves. The pathogenesis of acute rupture of the anterior chordae tendinae, without any evidence ...
متن کاملPii: S1010-7940(02)00065-9
Objective: Moderate to severe irreversible mitral regurgitation secondary to myocardial infarction is an independent risk factor for reduced long-term survival. Late effects of correction of mitral incompetence concomitant with coronary artery bypass grafting (CABG) are less well known and the choice of mitral valve procedure is still debated. Methods: From 1988 to 1998, 93 consecutive patients...
متن کاملAcute severe mitral regurgitation with cardiogenic shock caused by two-step complete anterior papillary muscle rupture during acute myocardial infarction.
BACKGROUND Rupture of a papillary muscle is an infrequent but often fatal mechanical complication of acute myocardial infarction. AIM The aim of this paper is to present a case report of a 65-year old women with acute severe mitral regurgitation with cardiogenic shock caused by two-step complete anterior papillary muscle rupture during acute myocardial infarction. The transthoracic echocardio...
متن کاملCardiogenic shock and the haemodynamic effects of arrhythmias.
Cardiogenic shock or pump failure may be defined as severe circulatory failure resulting from a primary defect in the pumping function of the heart, most commonly from acute myocardial infarction, and less commonly from end-stage congestive cardiomyopathy. It is essential that surgically correctable lesions leading to pump failure are identified and these would include papillary muscle dysfunct...
متن کاملCardiogenic shock due to Gemella morbillorum native mitral valve endocarditis
Gemella morbillorum is a rare cause of infective endocarditis. Consequently, little is known about the natural course of endocarditis secondary to this pathogen. Herein, we report a case of cardiogenic shock as a complication of acute mitral valve regurgitation following Gemella morbillorum native valve endocarditis.
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
دوره 106 8 شماره
صفحات -
تاریخ انتشار 2016