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. The incidence of sudden cardiac death in patients with severe  symptomatic aortic stenosis is up to 34% and resuscitation is described as  highly unsuccessful. Case report. A 72-year-old female patient with severe  aortic stenosis combined with severe mitral regurgitation and three-vessel  coronary artery disease was successfully resuscitated following two  in-hospital cardiac arrests. The first cardiac arrest occurred immediately  after intraarterial injection of low osmolar iodinated agent during coronary  angiography. Angiography revealed 90% occlusion of the proximal left main  coronary artery and circumflex branch. The second arrest followed induction  of anesthesia. Following successful open-chest resuscitation, aortic valve  replacement, mitral valvuloplasty and three-vessel aortocoronary bypass were  performed. Postoperative pericardial tamponade required surgical revision.  The patient recovered completely. Conclusion. Decision to start resuscitation  may be justified in selected patients with critical aortic stenosis, even  though cardiopulmonary resuscitation in such cases is generally considered  futile

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Successful resuscitation from two cardiac arrests in a female patient with critical aortic stenosis, severe mitral regurgitation and coronary artery disease