Korean J Anesthesiol.  2011 Feb;60(2):128-133. 10.4097/kjae.2011.60.2.128.

Anesthetic considerations of percutaneous transcatheter aortic valve implantation: first attempt in Korea: A report of 2 cases

• Son HJ
• Lee HM
• Chin JH
• Choi DK
• Lee EH
• Sim JY
• Choi IC

• KMID: 1766532
• DOI: http://doi.org/10.4097/kjae.2011.60.2.128

Abstract

Conventional aortic valve replacement for severe aortic stenosis is associated with a high operative mortality in the elderly patients with significant comorbidities, including severe respiratory dysfunction, renal insufficiency, and compromised cardiac function. Human transcatheter aortic valve implantation was first reported in 2002 and has become a valid alternative in selected high-risk patients in Europe and North America. This article describes the first attempt of transfemoral transcatheter aortic valve implantation in Korea. The procedure was applied in two consecutive patients with severe aortic stenosis. Despite several intra-operative complications during procedure, the post-operative outcomes were good for both patients. At post-operative 30 days there was satisfactory prosthetic valve function and hemodynamic stability.

Keyword

Anesthesia; Aortic stenosis; Conventional aortic valve replacement; Percutaneous transcatheter aortic valve implantation

MeSH Terms

Aged
Anesthesia
Aortic Valve
Aortic Valve Stenosis
Comorbidity
Europe
Hemodynamics
Humans
Korea
North America
Renal Insufficiency