HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Goldman, A. P. Articles by Maniscalco, B. S. Search for Related Content PubMed PubMed Citation Articles by Goldman, A. P. Articles by Maniscalco, B. S.

The Annals of Thoracic Surgery, Vol 52, 296-299, Copyright © 1991 by The Society of Thoracic Surgeons

ARTICLES

Role of echocardiography/Doppler in cardiogenic shock: silent mitral regurgitation

AP Goldman, MU Glover, W Mick, DF Pupello, SP Hiro, E Lopez-Cuenca and BS Maniscalco
St. Joseph's Hospital and Heart Institute, Tampa, Florida.

Two cases of cardiogenic shock and pulmonary edema due to acute, severe, silent mitral regurgitation are discussed. The mechanism for the mitral regurgitation was papillary muscle rupture in the setting of acute myocardial infarction. Echocardiography established the presence, severity, and cause of the mitral regurgitation and the associated hyperdynamic left ventricular function in the setting of cardiogenic shock. Transesophageal echocardiography is excellent for assessing the mitral valve in critically ill patients in whom transthoracic echocardiography may be inadequate or misleading. This allowed for emergency mitral valve replacement without prolonged attempts at medical stabilization.

This article has been cited by other articles:

				K. A. Munson, K. R. Jutzy, and M. de Lange Echocardiography's Role in Cardiogenic Shock After Acute Myocardial Infarction Journal of Diagnostic Medical Sonography, January 1, 1999; 15(1): 7 - 15. [Abstract] [PDF]