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- W2016159686 abstract "Trois observations d'insuffisance mitrale aiguë d'origine ischémique responsables d'une décompensation respiratoire aiguë chez des patients insuffisants respiratoires chroniques sont rapportées. Les particularités du tableau clinique ont été l'absence de manifestation coronarienne et la régression rapide de la fuite mitrale après ventilation artificielle, rendant le diagnostic difficile. C'est l'échocardiographie à la phase aiguë ou lors d'une situation de stress hypoxique, qui a permis d'objectiver l'insuffisance mitrale paroxystique et de poser l'indication de la coronarographie. Celle-ci confirme l'origine ischémique et guide le geste de revascularisation. Three cases of acute mitral insufficiency of ischemic origin responsible for an acute respiratory failure in patients with chronic obstructive pulmonary disease are reported. The peculiarities of the observed clinical presentation are the absence of coronary signs and the rapid decrease of the mitral regurgitation after mechanical ventilation, which made the diagnosis difficult. Echocardiography during the acute phase or during an hypoxic stress permit to show the paroxystic mitral insufficiency and to allow to the coronarography. Coronarography confirms the ischemic etiology and guides revascularization." @default.
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- W2016159686 title "Insuffisance mitrale aiguë d'origine ischémique, cause de décompensation aiguë de l'insuffisance respiratoire chronique a propos de trois observations" @default.
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- W2016159686 doi "https://doi.org/10.1016/s1164-6756(05)80146-x" @default.
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