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Emergency valve‐in‐valve transcatheter aortic valve replacement in a patient with degenerated bioprosthetic aortic stenosis and cardiogenic shock on veno‐arterial extracorporeal membrane oxygenation
Author(s) -
Summers Matthew R.,
Mick Stephanie,
Kapadia Samir R.,
Krishnaswamy Amar
Publication year - 2018
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.26990
Subject(s) - cardiogenic shock , medicine , extracorporeal membrane oxygenation , cardiology , valve replacement , stenosis , aortic valve replacement , shock (circulatory) , aortic valve , aortic valve stenosis , surgery , myocardial infarction
The use of transcatheter aortic valve replacement (TAVR) as an acute treatment in severe decompensated bioprosthetic aortic valve disease is not well documented. We describe herein a unique case in which valve‐in‐valve (ViV) TAVR was successfully used as both an emergency salvage therapy and a bridge to definitive fourth reoperative aortic valve replacement (AVR) in a young patient with cardiogenic shock secondary to bioprosthetic aortic valve stenosis who was dependent on veno‐arterial extracorporeal membrane oxygenation (VA‐ECMO). © 2017 Wiley Periodicals, Inc.