Emergency Mitral Transcatheter Edge-to-Edge Repair as a Bridge to Surgical Mitral Valve Replacement in Cardiogenic Shock: A Case Report.

Emergency surgery is the gold standard for acute mitral insufficiency complicated by cardiogenic shock, but it is burdened by a high perioperative risk. The evidence on the potential benefit of emergency mitral transcatheter edge-to-edge repair (M-TEER) in the acute setting is lacking. We describe the successful emergency M-TEER in a 80 years old patient with a highly complex anatomy, as a bridge to surgery, in the setting of cardiogenic shock due to acute severe mitral and tricuspid regurgitation. M-TEER as a bridge to surgery could be considered to decrease perioperative risk in selected patients and enlarged to acute settings even under unfavorable anatomical conditions.