title: Transapical mitral valve-in-valve implantation for patients in cardiogenic shock.
abstract: Transcatheter aortic valve implantation has demonstrated excellent results in high risk and inoperable patients, and been extended to valve-in-valve implantation for those with prosthetic aortic and, more recently, mitral valve failure. Despite its use in high risk and inoperable patients, active cardiogenic shock has historically been considered a contraindication. We describe 2 patients in acute cardiogenic shock from prosthetic mitral valve failure treated with transcatheter mitral valve-in-valve implantation. Transcatheter mitral valve therapies should be considered in patients in cardiogenic shock from prosthetic mitral valve failure, although, larger studies are needed to make any strong recommendation.
authors.affiliation: Weill Cornell Medical Center/New York Presbyterian Hospital, New York; New York Methodist Hospital, Brooklyn, New York. Electronic address: brnworku@hotmail.com.
authors.forename: Berhane
authors.initials: B
authors.lastname: Worku
authors.affiliation: Weill Cornell Medical Center/New York Presbyterian Hospital, New York.
authors.forename: Andreas R
authors.initials: AR
authors.lastname: de Biasi
authors.affiliation: Weill Cornell Medical Center/New York Presbyterian Hospital, New York; New York Methodist Hospital, Brooklyn, New York.
authors.forename: Iosif
authors.initials: I
authors.lastname: Gulkarov
authors.affiliation: Weill Cornell Medical Center/New York Presbyterian Hospital, New York.
authors.forename: Shing-Chiu
authors.initials: SC
authors.lastname: Wong
authors.affiliation: Weill Cornell Medical Center/New York Presbyterian Hospital, New York.
authors.forename: Arash
authors.initials: A
authors.lastname: Salemi
mesh_terms: D000369:Aged, 80 and over; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000209:etiology / Q000601:surgery*; D008946:Mitral Valve Stenosis / Q000209:etiology / Q000601:surgery*; D011475:Prosthesis Failure; D012086:Reoperation; D012770:Shock, Cardiogenic / Q000209:etiology*