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Mitral valve-in-valve implantation: A case report
M Parellada-Vendrell1, M Prat-Masana1, S Pérez-Ortega2
1Unidad de Cuidados Cardiológicos Agudos, Instituto Cardiovascular, Hospital Clínic, Barcelona, Spain.
Enfermeria Intensiva
|February 11, 2023
Summary
Mitral valve-in-valve implantation offers a new option for patients with bioprosthetic valve dysfunction. A tailored nursing care plan, focusing on fluid balance and respiratory status, was crucial for successful implantation in a high-risk patient.
Area of Science:
- Interventional Cardiology
- Cardiovascular Nursing
- Bioprosthetic Valve Dysfunction
Background:
- Mitral valve-in-valve implantation is an emerging treatment for bioprosthetic valve dysfunction.
- This procedure is indicated for patients with severe mitral regurgitation and high surgical risk.
- Developing individualized nursing care plans is essential for this novel procedure.
Observation:
- A 75-year-old female patient with severe mitral regurgitation secondary to bioprosthesis dysfunction was assessed.
- She presented with symptoms including dyspnea, nocturnal cough, orthopnea, and activity intolerance.
- Nursing assessment identified impaired fluid balance, ineffective breathing patterns, and activity intolerance.
Findings:
- Nursing diagnoses included excess fluid volume, ineffective breathing pattern, and activity intolerance.
- Collaborative problems identified were hypotension and anemia.
- Interventions focused on hypervolemia management, respiratory monitoring, and vital sign monitoring.
Implications:
- Effective nursing interventions, including hemodynamic monitoring and fluid management, improved the patient's respiratory status.
- This facilitated successful mitral valve-in-valve implantation under optimized conditions.
- Advancements in interventional cardiology necessitate continuous training and updating of critical care nursing expertise.
Keywords:
Cardiovascular nursingCritical care nursingEnfermería cardiovascularEnfermería de cuidados críticosHeart valve prosthesis implantationImplantación de prótesis de válvulas cardíacasInsuficiencia de la válvula mitralMitral valve regurgitationMore Related Videos
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