Annales de cardiologie et d'angéiologie
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Ann Cardiol Angeiol (Paris) · Apr 2017
Case Reports[Mitral valve repair with the MitraClip following surgical mitral annuloplasty failure].
Mitral repair using the MitraClip device is on ongoing expansion and has been evaluated in different patterns of mitral regurgitation. Nevertheless, surgical approaches to mitral regurgitation remain the standard of care, at least in absence of contraindication. We report the first Canadian experience of mitral valve repair with the MitraClip following surgical mitral annuloplasty failure. Therapeutic considerations and potential challenges are discussed.
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Ann Cardiol Angeiol (Paris) · Apr 2017
[Management of cardiogenic shock: Results from a survey in France and Belgium].
Physician survey on cardiogenic shock management; recommendations for the management of patients with cardiogenic shock are based mostly on experts' opinion. ⋯ Based on our physician survey, we found an agreement in vascular filling and early enteral nutrition. Dobutamine and noradrenaline should be the preferred drugs, but not dopamine. Mechanical circulatory support (preferably with extracorporeal support) should be restricted to refractory cardiogenic shock. Those responses differed slightly from experts' opinion, available in terms of recommendations.