ELECTIVE CIRCULATORY SUPPORT ASSISTING TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR) IN A HIGH SURGICAL RISK PATIENT WITH CONCOMITANT AORTIC AND MITRAL VALVE DISEASE AND LEFT VENTRICULAR DYSFUNCTION

Transthoracic echocardiogram showed severe left ventricular (LV) dysfunction with an ejection fraction (EF) of 20%, severe aortic stenosis with a mean gradient of 61 mmHg, indexed aortic valve area of 0.3 cm2/m2 and jet velocity of 5.0 m/s, with a combined moderate mitral stenosis and mild regurgita...

Full description

Saved in:
Bibliographic Details
Published inJournal of the American College of Cardiology Vol. 71; no. 11; p. A2331
Main Authors Franco, Vicente Jimenez, Torre-Amione, Guillermo, Sanchez-Diaz, Carlos, Quintanilla, Juan, Valdes, Felipe, Paredes-Vázquez, José Gildardo, Azpiri, Hernan
Format Journal Article
LanguageEnglish
Published New York Elsevier Inc 10.03.2018
Elsevier Limited
Subjects
Aortic stenosis
Aortic valve
Cardiology
Catheters
Electrocardiography
Family medical history
Heart
Mitral valve
Rheumatic heart disease
Surgery
Ventricle
Online AccessGet full text

Cover

More Information
Summary:Transthoracic echocardiogram showed severe left ventricular (LV) dysfunction with an ejection fraction (EF) of 20%, severe aortic stenosis with a mean gradient of 61 mmHg, indexed aortic valve area of 0.3 cm2/m2 and jet velocity of 5.0 m/s, with a combined moderate mitral stenosis and mild regurgitation (mitral valve area of 1.3 cm2), and elevated pulmonary arterial systolic pressure (PASP) of 53 mmHg. Heart team decided to perform TAVR assisted with femoro-femoral cardiopulmonary bypass (FFCPB), with future revaluation of the mitral valve.
ISSN:0735-1097
1558-3597
DOI:10.1016/S0735-1097(18)32872-9