Usefulness of Intra-Aortic Balloon Pump Off Test With Echocardiography for Decision Making in Secondary Ischemic Mitral Regurgitation: A Case Report

Our patient was a 60-year-old male with myocardial infarction. Urgent percutaneous coronary intervention was performed with intra-aortic balloon pump (IABP) support. Despite successful revascularization, the patient suffered from cardiogenic shock and heart failure. Secondary mitral regurgitation (M...

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Autores principales: Shiokawa, Noriko, Izumo, Masaki, Kuwata, Shingo, Akashi, Yoshihiro J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Cardiovascular Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8858845/
https://www.ncbi.nlm.nih.gov/pubmed/35198611
http://dx.doi.org/10.3389/fcvm.2022.790098
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author Shiokawa, Noriko
Izumo, Masaki
Kuwata, Shingo
Akashi, Yoshihiro J.
author_facet Shiokawa, Noriko
Izumo, Masaki
Kuwata, Shingo
Akashi, Yoshihiro J.
author_sort Shiokawa, Noriko
collection PubMed
description Our patient was a 60-year-old male with myocardial infarction. Urgent percutaneous coronary intervention was performed with intra-aortic balloon pump (IABP) support. Despite successful revascularization, the patient suffered from cardiogenic shock and heart failure. Secondary mitral regurgitation (MR) was mild and seemed unlikely to be the cause of heart failure. However, when IABP was temporarily stopped (IABP-OFF), secondary MR was aggravated; therefore, we decided to perform transcatheter mitral valve repair. Thereafter, only mild residual MR was observed after IABP removal, and hemodynamic stability was achieved. This case presents IABP-OFF test with echocardiography as a useful method to assess secondary MR.
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spelling pubmed-88588452022-02-22 Usefulness of Intra-Aortic Balloon Pump Off Test With Echocardiography for Decision Making in Secondary Ischemic Mitral Regurgitation: A Case Report Shiokawa, Noriko Izumo, Masaki Kuwata, Shingo Akashi, Yoshihiro J. Front Cardiovasc Med Cardiovascular Medicine Our patient was a 60-year-old male with myocardial infarction. Urgent percutaneous coronary intervention was performed with intra-aortic balloon pump (IABP) support. Despite successful revascularization, the patient suffered from cardiogenic shock and heart failure. Secondary mitral regurgitation (MR) was mild and seemed unlikely to be the cause of heart failure. However, when IABP was temporarily stopped (IABP-OFF), secondary MR was aggravated; therefore, we decided to perform transcatheter mitral valve repair. Thereafter, only mild residual MR was observed after IABP removal, and hemodynamic stability was achieved. This case presents IABP-OFF test with echocardiography as a useful method to assess secondary MR. Frontiers Media S.A. 2022-02-07 /pmc/articles/PMC8858845/ /pubmed/35198611 http://dx.doi.org/10.3389/fcvm.2022.790098 Text en Copyright © 2022 Shiokawa, Izumo, Kuwata and Akashi. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cardiovascular Medicine
Shiokawa, Noriko
Izumo, Masaki
Kuwata, Shingo
Akashi, Yoshihiro J.
Usefulness of Intra-Aortic Balloon Pump Off Test With Echocardiography for Decision Making in Secondary Ischemic Mitral Regurgitation: A Case Report
title Usefulness of Intra-Aortic Balloon Pump Off Test With Echocardiography for Decision Making in Secondary Ischemic Mitral Regurgitation: A Case Report
title_full Usefulness of Intra-Aortic Balloon Pump Off Test With Echocardiography for Decision Making in Secondary Ischemic Mitral Regurgitation: A Case Report
title_fullStr Usefulness of Intra-Aortic Balloon Pump Off Test With Echocardiography for Decision Making in Secondary Ischemic Mitral Regurgitation: A Case Report
title_full_unstemmed Usefulness of Intra-Aortic Balloon Pump Off Test With Echocardiography for Decision Making in Secondary Ischemic Mitral Regurgitation: A Case Report
title_short Usefulness of Intra-Aortic Balloon Pump Off Test With Echocardiography for Decision Making in Secondary Ischemic Mitral Regurgitation: A Case Report
title_sort usefulness of intra-aortic balloon pump off test with echocardiography for decision making in secondary ischemic mitral regurgitation: a case report
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8858845/
https://www.ncbi.nlm.nih.gov/pubmed/35198611
http://dx.doi.org/10.3389/fcvm.2022.790098
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