title: Severe mitral regurgitation and biventricular heart failure successfully treated with biventricular percutaneous axial flow pumps as a bridge to mitral valve surgery.
abstract: Prompt recognition of acute right ventricular failure is essential in order to provide timely hemodynamic support. We report a case of a patient with severe mitral regurgitation complicated by cardiogenic shock that failed to improve with left ventricular support alone. The recognition of concomitant right ventricular failure led to the addition of a right ventricular support device, resulting in dramatic hemodynamic improvement. © 2016 Wiley Periodicals, Inc.
authors.affiliation: Department of Cardiovascular Medicine, Beaumont Health System, Royal Oak, Michigan.
authors.forename: Brian M
authors.initials: BM
authors.lastname: Renard
authors.affiliation: Department of Cardiovascular Medicine, Beaumont Health System, Royal Oak, Michigan.
authors.forename: Ivan D
authors.initials: ID
authors.lastname: Hanson
authors.affiliation: Department of Cardiovascular Medicine, Beaumont Health System, Royal Oak, Michigan.
authors.forename: James A
authors.initials: JA
authors.lastname: Goldstein
mesh_terms: D006333:Heart Failure / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D019918:Heart Valve Prosthesis Implantation; D006353:Heart-Assist Devices; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D011474:Prosthesis Design; D020127:Recovery of Function; D012720:Severity of Illness Index; D012770:Shock, Cardiogenic / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D013997:Time Factors; D016896:Treatment Outcome; D018497:Ventricular Dysfunction, Right / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D016278:Ventricular Function, Right
keywords: cardiogenic shock; mitral valve disease; ventricular assist device