Emergency transcatheter aortic valve replacement for a patient with decompensated severe aortic stenosis accompanied by cardiorenal syndrome: a case report

• Published in: BMC cardiovascular disorders 2018-03, Vol.18 (1), p.55-55, Article 55
• Main Authors: Kim, Hongju, Lee, Jung-Hee
• Format: Article
• Language: English
• Subjects: Aged, 80 and over; Aortic Valve - diagnostic imaging; Aortic Valve - physiopathology; Aortic Valve - surgery; Aortic valve stenosis; Aortic Valve Stenosis - complications; Aortic Valve Stenosis - diagnostic imaging; Aortic Valve Stenosis - physiopathology; Aortic Valve Stenosis - surgery; Cardio-Renal Syndrome - diagnosis; Cardio-Renal Syndrome - etiology; Cardio-Renal Syndrome - physiopathology; Cardiorenal syndrome; Care and treatment; Case Report; Echocardiography; Echocardiography, Doppler, Color; Echocardiography, Three-Dimensional; Echocardiography, Transesophageal; Electrocardiography; Emergencies; Heart failure; Heart Failure - diagnosis; Heart Failure - etiology; Heart Failure - physiopathology; Heart valve replacement; Hemodynamics; Humans; Male; Risk factors; Severity of Illness Index; Transcatheter Aortic Valve Replacement; Treatment Outcome
• ISSN: 1471-2261; 1471-2261
• DOI: 10.1186/s12872-018-0791-7

Severe aortic stenosis (AS) may lead to acute decompensated heart failure resistant to medical treatment. Here, we report a successful emergent transcatheter aortic valve replacement (TAVR) in a patient presenting with decompensated severe AS accompanied by cardiorenal syndrome. A 82-year-old man presented at our emergency department with aggravated dyspnea. His chest X-ray showed bilateral pulmonary edema, and laboratory examination revealed acute kidney injury. Transthoracic echocardiography (TTE) revealed low-flow, low-gradient AS with decreased left ventricular systolic function. With a diagnosis of acute decompensated heart failure combined with cardiorenal syndrome, we opted to perform emergent TAVR. Ultimately, we successfully performed emergent TAVR using only TTE and 3-D transesophageal echocardiography (TEE) measurements. This report presents a case of decompensated severe AS accompanied by cardiorenal syndrome that was treated successfully with emergent TAVR. Thus, emergent TAVR using only echocardiography measurements is a feasible and safe option for treating decompensated heart failure accompanied by cardiorenal syndrome the clinical setting.