Systemic Inflammatory Response Syndrome After MitraClip
An octogenarian patient with multiple comorbid conditions, including heart failure with preserved ejection fraction and primary mitral valve regurgitation, presented with shortness of breath. After echocardiographic confirmation of severe mitral valve regurgitation, the patient underwent mitral tran...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
American College of Physicians
2024-06-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2024.0030 |
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| Summary: | An octogenarian patient with multiple comorbid conditions, including heart failure with preserved ejection fraction and primary mitral valve regurgitation, presented with shortness of breath. After echocardiographic confirmation of severe mitral valve regurgitation, the patient underwent mitral transcatheter edge-to-edge repair with the placement of 2 MitraClips (Abbott). After the procedure, the patient developed an unexplained fever, leukocytosis, tachycardia, and tachypnea concerning for possible procedural complications. The course was further complicated by the onset of delirium after the initiation of antibiotic therapy. The infectious work-up results were negative, and the patient's condition improved, suggesting a systemic inflammatory response syndrome. |
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| ISSN: | 2767-7664 |