Keywords
MitraClip
Weaning
Cardiogenic shock
Categories
How to Cite
Abstract
Mitral regurgitation (MR) due to severe left ventricular dysfunction wornsens the prognosis of patients with heart failure who need admission to Intensive Care Units. The percutaneous mitral valve repair with MitraClip is a therapy indicated in chronic patients with high surgical risk, however, its role has not been established in acute patients.
We present two cases of patients admitted to our unit for cardiogenic shock who presented difficult weaning from invasive mechanical ventilation due to MR refractory to medical treatment. Both patients presented high surgical risk, so percutaneous treatment was chosen with good short-term results, allowing the disconnection of mechanical ventilation in the following days.
MitraClip implantation is a safe therapy in the treatment of severe secondary MR in patients with cardiogenic shock who present high surgical risk, with good results in the early stage.
References
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