ArticleJACC. Case reports2026
Multidisciplinary Management and Hemodynamic Rescue of Cardiogenic Shock in RCA STEMI With Severe Mitral Regurgitation.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Abstract
clinical conditionA 55-year-old man was admitted with inferior-wall ST-segment elevation myocardial infarction. He was found to have multivessel disease with a culprit lesion not amenable for revascularization, new ischemic mitral regurgitation, and cardiogenic shock, prompting the initiation of mechanical circulatory support (MCS). His course was complicated by conduction abnormalities. KEY QUESTIONS: Some questions for consideration were: 1) Which criteria guide the choice of MCS in patients with complex cardiovascular anatomy and cardiogenic shock? 2) Is coronary artery bypass grafting with concomitant mitral valve repair/replacement superior to percutaneous coronary intervention and mitral transcatheter edge-to-edge repair in patients with poor target vessels and severe mitral regurgitation? OUTCOME: After initial stabilization with intra-aortic balloon pump, the patient underwent staged percutaneous coronary intervention and mitral transcatheter edge-to-edge repair, leading to resolution of symptoms and disease. He also received a prophylactic implantable cardioverter-defibrillator in the setting of variable block and reduced left ventricular ejection fraction. TAKE-HOME MESSAGE: This case highlights the importance of multidisciplinary discussions for a patient with complex cardiovascular anatomy requiring MCS and a high level of acute care.
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