Transcatheter Mitral Valve Repair with MitraClip for Severe Mitral Regurgitation and Cardiogenic Shock During the COVID-19 Pandemic

被引:7
作者
Chitturi, Kalyan R. [1 ]
Faza, Nadeen N. [2 ]
Little, Stephen H. [2 ]
Kleiman, Neal S. [2 ]
Reardon, Michael J. [3 ]
Goel, Sachin S. [2 ]
机构
[1] Houston Methodist Internal Med Residency Program, 6550 Fannin St,Suite 1001, Houston, TX 77030 USA
[2] Houston Methodist DeBakey Heart & Vasc Ctr, Dept Cardiol, 6550 Fannin St,Suite 1901, Houston, TX 77030 USA
[3] Houston Methodist DeBakey Heart & Vasc Ctr, Dept Cardiovasc Surg, 6550 Fannin St,Suite 1401, Houston, TX 77030 USA
关键词
COVID-19; MitraClip; Cardiogenic shock; Mitral regurgitation;
D O I
10.1016/j.carrev.2020.05.030
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Transcatheter mitral valve repair with MitraClip (Abbott) is largely an elective procedure. The ongoing coronavirus disease 2019 (COVID-19) pandemic has posed challenges to health care systems; in many cases elective interventions have been curtailed. Patients with severemitral regurgitation (MR) and cardiogenic shock are high-risk surgical candidates and at risk of a poor outcome without intervention. The American College of Cardiology (ACC) and the Society of Coronary Angiography and Interventions (SCAI) recently proposed joint guidance on triage of structural heart disease (SHD) interventions during the COVID-19 pandemic. We present two illustrative cases of severe MR and cardiogenic shock that were successfully treated with MitraClip amidst the COVID-19 pandemic with good outcomes at short term follow-up. (c) 2020 Elsevier Inc. All rights reserved.
引用
收藏
页码:950 / 953
页数:4
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