Intraoperative ECMO assistance during TAVI for aortic insufficiency in an Asian patient with LVAD support

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 mon...

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Bibliographic Details
Published in:ESC Heart Failure 2021-08, Vol.8 (4), p.3418-3421
Main Authors: Chang, Hsiao‐Huang, Chen, Po‐Lin, Chen, Ying‐Hwa, Leu, Hsin‐Bang, Kuo, Chia‐Cheng, Wu, Nai‐Yuan
Format: Article
Language:English
Subjects:
Aortic insufficiency
Case Report
Case Reports
Catheters
Edema
Extracorporeal membrane oxygenation
Heart failure
Left ventricular assist device
Patients
Prostheses
Transcatheter aortic valve implantation
Veins & arteries
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Summary: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.
ISSN:2055-5822
2055-5822
DOI:10.1002/ehf2.13426