Open AccessIntraoperative ECMO assistance during TAVI for aortic insufficiency in an Asian patient with LVAD support
Author(s) -
Chang HsiaoHuang,
Chen PoLin,
Chen YingHwa,
Leu HsinBang,
Kuo ChiaCheng,
Wu NaiYuan
Publication year - 2021
Publication title -
esc heart failure
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.787
H-Index - 25
ISSN - 2055-5822
DOI - 10.1002/ehf2.13426
Subject(s) - medicine , extracorporeal membrane oxygenation , heart failure , ventricular assist device , cardiology , concomitant , hemodynamics , surgery , extracorporeal , artificial heart , aortic valve
A 69‐year‐old male underwent concomitant left ventricular assist device (LVAD) implantation and aortic valve repair procedure for moderate aortic insufficiency (AI). Due to recurrence of symptomatic heart failure and post‐repair AI deterioration from trivial to moderate‐to‐severe insufficiency 2 months later, transcatheter aortic valve implantation (TAVI) was arranged. During TAVI, intraoperative extracorporeal membrane oxygenation was used to maintain stable haemodynamics and to ensure a safe environment for prosthesis deployment. Postoperative 5 month follow‐up revealed no AI and no paravalvular leakage.