Abstract
Acute hemodynamic compromise due to severe aortic regurgitation remains a difficult problem. The optimal management strategy and timing of surgery continues to evolve as new technologies become available. Here, we report the case of a young woman presenting with severe regurgitation of an aortic homograft who developed precipitous cardiogenic shock and multi-organ dysfunction. Her mortality risk with emergent surgery was prohibitive, and no percutaneous valve-in-valve device was available. We stabilized her condition by placing an Amplatz-type Atrial Septal Defect (ASD) occluder across her aortic valve in conjunction with a percutaneous left ventricular assist device as a bridge to surgical valve replacement. She went on to a successful surgery and recovered well. © 2013 Wiley Periodicals, Inc.
Original language | English (US) |
---|---|
Pages (from-to) | E141-E145 |
Journal | Catheterization and Cardiovascular Interventions |
Volume | 83 |
Issue number | 1 |
DOIs | |
State | Published - Jan 1 2014 |
Keywords
- cardiopulmonary support
- valvular heart disease
- ventricular support devices
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
- Cardiology and Cardiovascular Medicine