Venoarterial Extracorporeal Membrane Oxygenation to Facilitate Transcutaneous Mitral Valve Replacement in Critical Mitral Stenosis

Rachel M Clark; Sharon Bruoha; Assi Milwidsky; Edwin Ho; Sandhya Murthy; Mei L Chau; Azeem Latib; Ulrich P Jorde

doi:10.1016/j.jaccas.2021.12.032

Venoarterial Extracorporeal Membrane Oxygenation to Facilitate Transcutaneous Mitral Valve Replacement in Critical Mitral Stenosis

JACC Case Rep. 2022 Apr 6;4(7):385-390. doi: 10.1016/j.jaccas.2021.12.032.

Authors

Rachel M Clark¹, Sharon Bruoha², Assi Milwidsky^{2

3}, Edwin Ho², Sandhya Murthy², Mei L Chau², Azeem Latib², Ulrich P Jorde²

Affiliations

¹ Department of Internal Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA.
² Division of Cardiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA.
³ Division of Cardiology, Tel-Aviv Medical Center, Affiliated with the Sackler School of Medicine, Tel-Aviv University, Israel.

Abstract

Biological mitral valve restenosis after replacement in rheumatic heart disease is a rare complication. This case illustrates venoarterial extracorporeal membrane oxygenation to facilitate transcatheter mitral valve replacement in a patient with suprasystemic pulmonary pressure and cardiogenic shock with multiorgan failure secondary to critical mitral stenosis of a bioprosthetic valve.(Level of Difficulty: Advanced.).

Keywords: LAMPOON, laceration of the anterior bioprosthetic mitral leaflet to prevent outflow obstruction; LV, left ventricle; LVOT, left ventricular outflow tract; MV, mitral valve; PAP, pulmonary arterial pressure; PH, pulmonary hypertension; TMV, transcutaneous mitral valve; TMVR, transcutaneous mitral valve replacement; TTE, transthoracic echocardiogram; VA-ECMO, venoarterial extracorporeal membrane oxygenation; mitral valve; pulmonary hypertension; stenosis; valve replacement.

Publication types

Case Reports