title: Cardiogenic shock: A look at acute functional mitral incompetence.
abstract: A 44-year-old man presented with cardiogenic shock secondary to acute functional mitral incompetence as well as septic shock related to pneumonia. The patient deteriorated haemodynamically despite adequate medical therapy. An echocardiogram revealed a massive mitral incompetence and an ejection fraction of 32%. An intra-aortic balloon pump was placed and the patient improved dramatically. On day 6 after admission the echocardiogram was repeated, revealing a mild mitral incompetence and an ejection fraction of 58%.
authors: Department of Anaesthesiology, Rob Ferreira Hospital, Nelspruit, South Africa. fcoissteyn@gmail.com.
authors: F A
authors: FA
authors: Steyn
authors: J
authors: J
authors: Vosloo
authors: H
authors: H
authors: Naude
authors: A J
authors: AJ
authors: Steyn
mesh_terms: D000208:Acute Disease; D000328:Adult; D004452:Echocardiography / Q000379:methods; D006439:Hemodynamics; D006801:Humans; D007423:Intra-Aortic Balloon Pumping / Q000379:methods*; D008297:Male; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology; D011014:Pneumonia / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology; D012770:Shock, Cardiogenic / Q000175:diagnosis / Q000209:etiology; D012772:Shock, Septic / Q000175:diagnosis / Q000209:etiology; D013318:Stroke Volume; D016896:Treatment Outcome