A Case of TAVR Complicated by Severe Functional Mitral Regurgitation.
Aged, 80 and over
Aortic Valve
/ diagnostic imaging
Aortic Valve Stenosis
/ surgery
Assisted Circulation
/ instrumentation
Dilatation, Pathologic
/ diagnosis
Echocardiography, Transesophageal
/ methods
Heart Ventricles
/ pathology
Heart-Assist Devices
Humans
Male
Mitral Valve Insufficiency
/ diagnosis
Postoperative Complications
/ diagnosis
Severity of Illness Index
Surgery, Computer-Assisted
/ methods
Transcatheter Aortic Valve Replacement
/ adverse effects
Treatment Outcome
Journal
The Canadian journal of cardiology
ISSN: 1916-7075
Titre abrégé: Can J Cardiol
Pays: England
ID NLM: 8510280
Informations de publication
Date de publication:
12 2020
12 2020
Historique:
received:
29
03
2020
revised:
05
07
2020
accepted:
23
07
2020
pubmed:
1
8
2020
medline:
19
5
2021
entrez:
1
8
2020
Statut:
ppublish
Résumé
Mitral regurgitation (MR) is a known complication of transcatheter aortic valve replacement (TAVR). We report a case of a 90-year-old man with severe symptomatic aortic stenosis who underwent elective TAVR. The procedure was complicated by severe functional MR from left ventricular stunning and dilatation caused by hypotension throughout the procedure. An Impella CP (Abiomed, Inc, Danvers, MA) was inserted to unload the left ventricle and decrease its size with subsequent improvement in MR severity, which was sustained after Impella CP removal. In conclusion, we present the first case of successful management of post-TAVR severe functional MR with an Impella CP.
Identifiants
pubmed: 32735847
pii: S0828-282X(20)30864-3
doi: 10.1016/j.cjca.2020.07.238
pii:
doi:
Types de publication
Case Reports
Video-Audio Media
Langues
eng
Sous-ensembles de citation
IM
Pagination
1977.e13-1977.e15Informations de copyright
Copyright © 2020 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.