Suprasternal Approach to Transcatheter Aortic Valve Replacement in a Complex Congenital Pediatric Patient Presenting With Cardiogenic Shock

Jacob Elrod; Shane Prejean; Hussein Abu Daya; Thomas Watts; Jared Kato; Ashley Reed; Robb L Romp; Gregory Von Mering; Kyle Eudailey; Mark A Law; Mustafa Ahmed

doi:10.1016/j.carrev.2020.04.032

Suprasternal Approach to Transcatheter Aortic Valve Replacement in a Complex Congenital Pediatric Patient Presenting With Cardiogenic Shock

Cardiovasc Revasc Med. 2020 Nov;21(11S):39-42. doi: 10.1016/j.carrev.2020.04.032. Epub 2020 Apr 29.

Authors

Affiliations

¹ Division of General Internal Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, United States of America. Electronic address: [email protected].
² Section of Interventional Cardiology, Division of Cardiovascular Disease, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, United States of America.
³ Division of Pediatric Cardiology, Department of Pediatrics, University of Alabama at Birmingham, Birmingham, AL, United States of America.
⁴ Division of Cardiothoracic Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, United States of America.

PMID: 32499124
DOI: 10.1016/j.carrev.2020.04.032

Abstract

Transcatheter aortic valve replacement (TAVR) offers well established benefit for adults with severe aortic stenosis, although applications in the pediatric population remain limited. We describe a case of a 15-year-old male with complex congenital heart disease presenting with cardiogenic shock in the setting of mixed severe aortic stenosis (AS) and severe aortic insufficiency (AI). Self-expanding TAVR was performed via suprasternal approach with robust clinical improvement. At one month follow up, he had resolution of clinical heart failure with improvement in ejection fraction and no symptoms of valvulopathy. To our knowledge, there have been no described cases of suprasternal TAVR in a pediatric patient.

Keywords: Aortic regurgitation; Congenital; Pediatric; Tavi; Tavr; Transcatheter aortic valve implantation.

Publication types

Case Reports

MeSH terms

Adolescent
Aortic Valve / surgery
Aortic Valve Stenosis / surgery
Child
Heart Valve Prosthesis*
Humans
Male
Risk Factors
Shock, Cardiogenic
Transcatheter Aortic Valve Replacement*
Treatment Outcome