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Management of severe aortic regurgitation in a patient with cardiogenic shock using a percutaneous left ventricular assist device and transcatheter occlusion of the failed aortic valve homograft as a bridge to surgical valve replacement
Author(s) -
Pollak Peter,
Lim D. Scott,
Kern John
Publication year - 2013
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.24993
Subject(s) - medicine , cardiogenic shock , regurgitation (circulation) , cardiology , percutaneous , aortic valve , aortic valve replacement , surgery , shock (circulatory) , myocardial infarction , stenosis
Acute hemodynamic compromise due to severe aortic regurgitation remains a difficult problem. The optimal management strategy and timing of surgery continues to evolve as new technologies become available. Here, we report the case of a young woman presenting with severe regurgitation of an aortic homograft who developed precipitous cardiogenic shock and multi‐organ dysfunction. Her mortality risk with emergent surgery was prohibitive, and no percutaneous valve‐in‐valve device was available. We stabilized her condition by placing an Amplatz‐type Atrial Septal Defect (ASD) occluder across her aortic valve in conjunction with a percutaneous left ventricular assist device as a bridge to surgical valve replacement. She went on to a successful surgery and recovered well. © 2013 Wiley Periodicals, Inc.