Key result
PTMC plus ECMO successfully treats a patient with severe rheumatic mitral stenosis and cardiogenic shock.
Why the study?
Few patients with critical rheumatic mitral valve stenosis present with acute cardiogenic shock requiring urgent circulatory support and definitive valvular repair or replacement.
Case Report (n=1)
Percutaneous transcatheter mitral commissurotomy, supported by ECMO, can be a successful definitive treatment for severe rheumatic mitral stenosis presenting as cardiogenic shock.
No takes yet. Share an insight, caveat, or question.
May support ECMO-assisted commissurotomy in refractory shock; hypothesis-generating and should not change practice without prospective data.
Jalil et al. (2023) conducted a case report in Severe rheumatic mitral stenosis and cardiogenic shock (n=1). Extracorporeal membrane oxygenation (ECMO) and percutaneous transcatheter mitral commissurotomy (PTMC) was evaluated on Clinical recovery. Percutaneous transcatheter mitral commissurotomy combined with ECMO successfully treated a 37-year-old man presenting with severe rheumatic mitral stenosis and cardiogenic shock.
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