Right ventricular infarction and mitral stenosis: a resuscitation challenge

Sébastien Champion; Eric Braunberger; David Vandroux; Bernard A Gaüzere; Yannick Lefort

doi:10.5301/ijao.5000355

Right ventricular infarction and mitral stenosis: a resuscitation challenge

Int J Artif Organs. 2014 Nov;37(11):861-3. doi: 10.5301/ijao.5000355. Epub 2014 Nov 18.

Authors

Sébastien Champion¹, Eric Braunberger, David Vandroux, Bernard A Gaüzere, Yannick Lefort

Affiliation

¹ 1 Intensive Care Unit, University Hospital de la Réunion, Saint Denis - France.

PMID: 25450324
DOI: 10.5301/ijao.5000355

Abstract

We report the case of a 49-year-old woman who experienced an inferior myocardial infarction with right ventricular extension, poorly tolerated, partly due to a severe rheumatic mitral stenosis discovered during the hospitalization. Following an initial emergent mechanical circulatory support with femoro-femoral extracorporeal life support (ECLS), the patient had the mitral valve replaced, and the arterio-venous ECLS was removed for a right ventricular assistance device. After seven weeks, she was discharged and fully recovered.

Publication types

Case Reports

MeSH terms

Echocardiography, Doppler
Echocardiography, Transesophageal
Electrocardiography
Extracorporeal Membrane Oxygenation*
Female
Heart Valve Prosthesis Implantation*
Heart-Assist Devices*
Hemodynamics
Humans
Inferior Wall Myocardial Infarction / diagnosis
Inferior Wall Myocardial Infarction / physiopathology
Inferior Wall Myocardial Infarction / therapy*
Middle Aged
Mitral Valve / physiopathology
Mitral Valve / surgery*
Mitral Valve Stenosis / diagnosis
Mitral Valve Stenosis / physiopathology
Mitral Valve Stenosis / surgery*
Prosthesis Design
Recovery of Function
Rheumatic Heart Disease / diagnosis
Rheumatic Heart Disease / physiopathology
Rheumatic Heart Disease / therapy*
Time Factors
Treatment Outcome
Ventricular Function, Right*