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  • Title: Transapical mitral valve-in-valve implantation for patients in cardiogenic shock.
    Author: Worku B, de Biasi AR, Gulkarov I, Wong SC, Salemi A.
    Journal: Ann Thorac Surg; 2015; 99(5):e103-5. PubMed ID: 25952241.
    Abstract:
    Transcatheter aortic valve implantation has demonstrated excellent results in high risk and inoperable patients, and been extended to valve-in-valve implantation for those with prosthetic aortic and, more recently, mitral valve failure. Despite its use in high risk and inoperable patients, active cardiogenic shock has historically been considered a contraindication. We describe 2 patients in acute cardiogenic shock from prosthetic mitral valve failure treated with transcatheter mitral valve-in-valve implantation. Transcatheter mitral valve therapies should be considered in patients in cardiogenic shock from prosthetic mitral valve failure, although, larger studies are needed to make any strong recommendation.
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