Cheyne-Stokes respiration and cardiovascular oscillations ending abruptly when deploying transfemoral aortic valve
| Autor: | Agnes Pasquet, Giuseppe Liistro, David Kahn, Philippe Baele |
|---|---|
| Přispěvatelé: | UCL - SSS/IREC/CARD - Pôle de recherche cardiovasculaire, UCL - SSS/IREC/PNEU - Pôle de Pneumologie, ORL et Dermatologie, UCL - SSS/IREC/SLUC - Pôle St.-Luc, UCL - (SLuc) Service d'anesthésiologie, UCL - (SLuc) Service de pathologie cardiovasculaire, UCL - (SLuc) Service de pneumologie |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Aortic valve
Male medicine.medical_specialty Physiology 030204 cardiovascular system & hematology Reflex pathway Cheyne–Stokes respiration 03 medical and health sciences 0302 clinical medicine Physiology (medical) Internal medicine medicine Humans Cheyne-Stokes Respiration Cheyne–Stokes breathing Aged 80 and over Heart Failure Heart Valve Prosthesis Implantation business.industry Hemodynamics Cheyne-stokes breathing Pulmonary vessels Aortic Valve Stenosis medicine.anatomical_structure Treatment Outcome 030228 respiratory system Echocardiography Aortic Valve Breathing Cardiology medicine.symptom business Transfemoral aortic valve |
| Zdroj: | Journal of applied physiology, Vol. 128, no.2, p. 345-349 (2020) |
| Popis: | A 86-yr-old man was referred for transfemoral aortic valve implantation. Transthoracic echocardiography revealed a severe stenosis (mean gradient: 58 mmHg, aortic valve area: 0.4 cm2), and after multidisciplinary discussion, the risk of surgery was judged too high (logistic Euroscore: 51%), and the patient was proposed for a transfemoral aortic valve implantation (TAVI). On arrival in the operating room, the patient, fully conscious, was noted to have Cheyne–Stokes breathing (CSB), which persisted after 40% oxygen administration. TAVI procedure was successful, and the CSB pattern was interrupted within 8 s. To the best of our knowledge, this report is the first to show an acute disappearance of CSB, occurring only seconds after TAVI and restoration of a normal hemodynamic situation. To explain such rapid changes in breathing pattern, we hypothesize a role played by the acute release of pulmonary hypertension and pulmonary volume overload. NEW & NOTEWORTHY Acute disappearance of Cheyne–Stokes breathing after transfemoral aortic valve implantation suggests a reflex pathway originating from the fall in pulmonary vessels congestion. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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