Transcatheter aortic valve replacement for aortic bioprosthetic valve failure with cardiogenic shock

Acutely failing bioprosthetic valves represent a clinical emergency and are exceedingly challenging given the paucity of therapeutic options. Oftentimes, these patients are not re-operative candidates due to clinical instability. We present 2 cases of acute degenerative aortic bioprosthetic valve fa...

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Bibliographic Details
Published inThe Journal of invasive cardiology Vol. 25; no. 11; pp. 625 - 626
Main Authors Fudim, Marat, Markley, Roshanak R, Robbins, Mark A
Format Journal Article
LanguageEnglish
Published United States 01.11.2013
Subjects
Aged, 80 and over
Aortic Valve - surgery
Aortic Valve Insufficiency - complications
Aortic Valve Insufficiency - diagnosis
Aortic Valve Insufficiency - surgery
Aortic Valve Stenosis - surgery
Bioprosthesis - adverse effects
Cardiac Catheterization - methods
Echocardiography
Follow-Up Studies
Heart Valve Prosthesis - adverse effects
Humans
Male
Middle Aged
Prosthesis Failure
Radiography, Thoracic
Reoperation - methods
Shock, Cardiogenic - etiology
Shock, Cardiogenic - surgery
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Summary:Acutely failing bioprosthetic valves represent a clinical emergency and are exceedingly challenging given the paucity of therapeutic options. Oftentimes, these patients are not re-operative candidates due to clinical instability. We present 2 cases of acute degenerative aortic bioprosthetic valve failure with cardiogenic shock treated with transcatheter aortic valve replacement (TAVR). These cases were characterized by hemodynamic instability with vasopressor dependence and (multiple) organ failure. These 2 cases demonstrate that TAVR should be considered as a treatment option for unstable patients with bioprosthetic failure.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:1557-2501