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No reflow leading to catastrophic hemodynamic collapse in a patient with severe aortic stenosis and its management
Author(s) -
Singh Rao Ravinder,
Shapiro Robert L.,
Lasala John M.
Publication year - 2016
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.26233
Subject(s) - medicine , cardiology , conventional pci , impella , aortic valvuloplasty , stenosis , percutaneous coronary intervention , myocardial infarction , hemodynamics , balloon , percutaneous , surgery , aortic valve stenosis , cardiogenic shock
We report a case of an 87‐year‐old female who underwent percutaneous coronary intervention (PCI) for non‐ST elevation myocardial infarction while she was being worked up for transcatheter aortic valve procedure. Hemodynamic compromise occurred during the PCI, which could only be mitigated by doing a balloon aortic valvuloplasty and Impella™ insertion. This case report will help in preparedness for any untoward events in patients with aortic stenosis and undergoing percutaneous coronary intervention. © 2015 Wiley Periodicals, Inc.