علاج تدلي الصمام التاجي مع القصور التاجي الحاد الشديد والتدهور الديناميكي الدموي

References

DOI: 10.1161/CIR.0000000000000923

The patient with severe acute MR, which might occur from chordal rupture, usually experiences acute hemodynamic decompensation.

Prompt mitral valve surgery, preferably mitral repair if possible, is lifesaving in the symptomatic patient with acute severe primary MR.

Intra-aortic balloon counterpulsation can be helpful to treat acute severe MR.

By lowering systolic aortic pressure, intra-aortic balloon counterpulsation decreases LV afterload, increasing forward output while decreasing regurgitant volume.

The use of a percutaneous circulatory assist device may stabilize a patient with acute hemodynamic compromise before the procedure.