Emergency transcatheter aortic valve implantation in patients with severe aortic regurgitation and a left ventricle assist device: A case report and systematic review.
Eur Heart J Acute Cardiovasc Care
; 6(8): 719-727, 2017 Dec.
Article
em En
| MEDLINE
| ID: mdl-27245700
ABSTRACT
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 ANDRESULTS:
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.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Valva Aórtica
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Insuficiência da Valva Aórtica
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Próteses Valvulares Cardíacas
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Cardiomiopatia Dilatada
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Coração Auxiliar
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Emergências
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Substituição da Valva Aórtica Transcateter
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article