Emergency valve-in-valve transcatheter aortic valve replacement in a patient with degenerated bioprosthetic aortic stenosis and cardiogenic shock on veno-arterial extracorporeal membrane oxygenation

Catheter Cardiovasc Interv. 2018 Sep 1;92(3):592-596. doi: 10.1002/ccd.26990. Epub 2017 Mar 15.

Abstract

The use of transcatheter aortic valve replacement (TAVR) as an acute treatment in severe decompensated bioprosthetic aortic valve disease is not well documented. We describe herein a unique case in which valve-in-valve (ViV) TAVR was successfully used as both an emergency salvage therapy and a bridge to definitive fourth reoperative aortic valve replacement (AVR) in a young patient with cardiogenic shock secondary to bioprosthetic aortic valve stenosis who was dependent on veno-arterial extracorporeal membrane oxygenation (VA-ECMO). © 2017 Wiley Periodicals, Inc.

Keywords: aortic valve disease; cardiogenic; shock; transcatheter valve implantation.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Adult
  • Aortic Valve / diagnostic imaging
  • Aortic Valve / physiopathology
  • Aortic Valve / surgery*
  • Aortic Valve Stenosis / diagnostic imaging
  • Aortic Valve Stenosis / etiology
  • Aortic Valve Stenosis / physiopathology
  • Aortic Valve Stenosis / surgery*
  • Bioprosthesis*
  • Device Removal
  • Echocardiography, Three-Dimensional
  • Echocardiography, Transesophageal
  • Emergencies
  • Extracorporeal Membrane Oxygenation*
  • Heart Valve Prosthesis Implantation / adverse effects
  • Heart Valve Prosthesis Implantation / instrumentation*
  • Heart Valve Prosthesis*
  • Humans
  • Male
  • Prosthesis Design
  • Prosthesis Failure*
  • Recovery of Function
  • Shock, Cardiogenic / diagnostic imaging
  • Shock, Cardiogenic / etiology
  • Shock, Cardiogenic / physiopathology
  • Shock, Cardiogenic / therapy*
  • Transcatheter Aortic Valve Replacement / instrumentation*
  • Treatment Outcome