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Published on: October 16, 2021
Emergency Mitral Transcatheter Edge-to-Edge Repair as a Bridge to Surgical Mitral Valve Replacement in Cardiogenic
Aurélie Besnard1, Morad Djebbar2, Mariama Akodad2
1Institute of Perfusion, Critical Care Medicine and Anesthesiology in Cardiac Surgery (IPRA), Ramsay Santé, Hôpital Privé Jacques Cartier, Massy, France.
Abstract:
Emergency surgery is the gold standard for acute mitral insufficiency complicated by cardiogenic shock, but it is burdened by a high perioperative risk. The evidence on the potential benefit of emergency mitral transcatheter edge-to-edge repair (M-TEER) in the acute setting is lacking. We describe the successful emergency M-TEER in a 80 years old patient with a highly complex anatomy, as a bridge to surgery, in the setting of cardiogenic shock due to acute severe mitral and tricuspid regurgitation. M-TEER as a bridge to surgery could be considered to decrease perioperative risk in selected patients and enlarged to acute settings even under unfavorable anatomical conditions.
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