CHEST 2023 On Demand Pass-Cardiac Valvular Urgencies in the ICU

Video Transcription

Video Summary

In this video, the speaker discusses severe mitral regurgitation and mitral stenosis in the ICU setting. They explain the different causes of these conditions and the treatment options available. For mitral regurgitation, the speaker discusses mitral valve repair or replacement surgery, as well as transcatheter mitral valve repair using devices like the mitral clip. They also mention the use of medical stabilization, such as diuresis, as a temporary measure. In the case of mitral stenosis, the speaker explains that the treatment is primarily focused on mitral intervention, either through valvuloplasty or surgery. The speaker emphasizes the importance of early referral to a heart team, which includes interventional cardiologists and surgeons. They also note that while surgical intervention is the ideal treatment, it carries high risks, and not all patients are suitable candidates for surgery. In such cases, transcatheter options may be considered. The speaker highlights the success of transcatheter mitral valve repair in reducing mitral regurgitation and improving survival in patients with cardiogenic shock. They note that while there may not be a randomized trial, various studies and registries have shown positive outcomes with transcatheter intervention. The speaker concludes by explaining that further research is needed and that transcatheter options should be considered in high-risk patients who are not suitable candidates for surgery. Overall, the video provides an overview of the different treatment options for severe mitral regurgitation and mitral stenosis in the ICU setting and highlights the potential benefits of transcatheter interventions.

Meta Tag

Category Cardiovascular Disease

Session ID 1028

Speaker Hector Cajigas

Speaker Mayra Guerrero

Speaker Steven Hollenberg

Speaker Gabriel Ortiz-Jaimes

Track Cardiovascular Disease

Keywords

severe mitral regurgitation

mitral stenosis

ICU setting

treatment options

mitral valve repair

mitral valve replacement surgery

transcatheter mitral valve repair

medical stabilization

mitral intervention

high-risk patients