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Cardiogenic shock: A look at acute functional mitral incompetence

F A Steyn, J Vosloo, H Naude, A J Steyn

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' affiliations

F A Steyn, Department of Anaesthesiology, Rob Ferreira Hospital, Nelspruit, South Africa

J Vosloo, Intensive Care Unit, Rob Ferreira Hospital, Nelspruit, South Africa

H Naude, Rob Ferreira Hospital, Nelspruit, South Africa

A J Steyn, Private Practice, Nelspruit, South Africa

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Keywords

Cardiogenic shock; Acute functional mitral incompetence

Cite this article

South African Medical Journal 2016;106(8):789-791. DOI:10.7196/SAMJ.2016.v106i8.10283

Article History

Date submitted: 2015-11-03
Date published: 2016-07-12

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