Perrin Nils, Frei Angela, Müller Hajo, Noble Stéphane
Structural Heart Unit, Cardiology Division, Department of Medicine, University Hospital of Geneva, Geneva, Switzerland.
CJC Open. 2020 Jun 21;2(6):691-694. doi: 10.1016/j.cjco.2020.06.007. eCollection 2020 Nov.
Acute coronary syndromes complicated by cardiogenic shock are associated with high mortality, and patients are definitely considered at high procedural risk. We present here the 5-year success of full percutaneous management of a young patient in cardiogenic shock with acute and chronic coronary artery disease as well as significant mitral regurgitation. Whereas the benefit of culprit lesion coronary revascularization is well established, evidence supporting chronic total occlusion revascularization in the acute setting remains poor. Percutaneous management of acute mitral regurgitation with cardiogenic shock is a viable option in patients with recurrent pulmonary edema.
并发心源性休克的急性冠状动脉综合征死亡率很高，这类患者无疑被视为高手术风险人群。我们在此介绍了一名患有急性和慢性冠状动脉疾病以及严重二尖瓣反流的心源性休克年轻患者接受完全经皮治疗5年的成功案例。虽然罪犯病变冠状动脉血运重建的益处已得到充分证实，但支持在急性情况下对慢性完全闭塞病变进行血运重建的证据仍然不足。对于反复出现肺水肿的患者，经皮治疗急性二尖瓣反流并伴有心源性休克是一种可行的选择。
