Emergency transcatheter aortic valve implantation in patients with severe aortic regurgitation and a left ventricle assist device
| Autor: | Pim van der Harst, Janny E. Poelman, Aafke A. Klungel, Ad F. M. van den Heuvel, Remco A. J. Schurer, Vladimir Cernak, Hindrik van der Werf, Ton E. Vonck |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Cardiomyopathy Dilated Male medicine.medical_specialty Transcatheter aortic Aortic Valve Insufficiency Aortic regurgitation Regurgitation (circulation) 030204 cardiovascular system & hematology Critical Care and Intensive Care Medicine Transcatheter Aortic Valve Replacement 03 medical and health sciences 0302 clinical medicine INSUFFICIENCY Internal medicine Medicine Humans transcatheter aortic valve implantations In patient left ventricle assist device 030212 general & internal medicine SUPPORTED PATIENTS business.industry Cardiogenic shock General Medicine COMMISSURAL FUSION medicine.disease Surgery Transplantation REPLACEMENT medicine.anatomical_structure Ventricle Echocardiography Aortic Valve Heart Valve Prosthesis CLOSURE Cardiology cardiovascular system Heart-Assist Devices Emergencies Cardiology and Cardiovascular Medicine business |
| Zdroj: | European Heart Journal: Acute Cardiovascular Care. 6(8):719-727 |
| ISSN: | 2048-8726 |
| DOI: | 10.1177/2048872616652310 |
| Popis: | Background: Cardiogenic shock due to severe aortic regurgitation in patients with left ventricle assist devices is a life threatening condition. Here, we consider transcatheter aortic valve implantation as a treatment option. Methods and results: A patient with a left ventricle assist device was presented to us with cardiogenic shock due to severe aortic regurgitation. We successfully implanted a transcatheter aortic valve in emergency setting. The patient recovered and underwent cardiac transplantation three months afterwards. We performed a systematic literature review and identified 10 cases of patients with a left ventricle assist device undergoing transcatheter aortic valve implantation. In these cases, there was no procedural related mortality reported. In four (40%) patients, transcatheter aortic valve implantation resulted in significant paravalvular aortic regurgitation. In two of these cases it was due to migration of the valve towards the left ventricle. Conclusions: Our case report and review of literature suggests that transcatheter aortic valve implantation is a feasible and lifesaving treatment option for left ventricle assist device patients presenting with severe aortic regurgitation. |
| Databáze: | OpenAIRE |
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