Critical exacerbation of idiopathic pulmonary fibrosis after transcatheter aortic valve implantation: Need for multidisciplinary care beyond “heart team”

An 82-year-old man with severe aortic stenosis and idiopathic pulmonary fibrosis (IPF) underwent transcatheter aortic valve implantation (TAVI) under general anesthesia. However, following a successful TAVI procedure, he developed progressive respiratory failure because of the exacerbation of IPF. D...

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Bibliographic Details
Published in:Journal of cardiology cases 2018-11, Vol.18 (5), p.171-174
Main Authors: Sugizaki, Yoichiro, Mori, Shumpei, Nagamatsu, Yuichi, Akita, Tomomi, Nagasawa, Akira, Toba, Takayoshi, Yamamoto, Masatsugu, Nishii, Tatsuya, Obata, Norihiko, Nomura, Yoshikatsu, Otake, Hiromasa, Shinke, Toshiro, Okita, Yutaka, Hirata, Ken-ichi
Format: Article
Language:English
Subjects:
Aortic stenosis
General anesthesia
Idiopathic pulmonary fibrosis
Transcatheter aortic valve implantation
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Summary:An 82-year-old man with severe aortic stenosis and idiopathic pulmonary fibrosis (IPF) underwent transcatheter aortic valve implantation (TAVI) under general anesthesia. However, following a successful TAVI procedure, he developed progressive respiratory failure because of the exacerbation of IPF. Despite the use of immunosuppressants, the patient could not be saved and he died of respiratory failure. Although TAVI is a less invasive procedure compared to conventional surgical aortic valve replacement, it is currently selected for management of severely ill, frail, and elderly patients. This case highlights the potential risk of IPF exacerbation following a TAVI procedure performed under general anesthesia.
ISSN:1878-5409
1878-5409
DOI:10.1016/j.jccase.2018.07.005