Yeungnam Univ J Med.  2014 Dec;31(2):144-147. 10.12701/yujm.2014.31.2.144.

Successful emergency transcatheter aortic valve implantation

• Lee JH
• Ji AY
• Kim YJ
• Song C
• Jin MN
• Kim SW
• Hong MK
• Hong GR

• KMID: 1909825
• DOI: http://doi.org/10.12701/yujm.2014.31.2.144

Abstract

Despite the necessity of surgical aortic valve replacement, many patients with symptomatic severe aortic stenosis (AS) cannot undergo surgery because of their severe comorbidities. In these high-risk patients, percutaneous transcatheter aortic valve implantation (TAVI) can be safely accomplished. However, no study has shown that TAVI can be performed for patients with severe AS accompanied by acute decompensated heart failure. In this case report, 1 patient presented a case of severe pulmonary hypertension with decompensated heart failure after diagnosis with severe AS, and was successfully treated via emergency TAVI. Without any invasive treatment, acute decompensated heart failure with severe pulmonary hypertension is common in patients with severe AS, and it can increase mortality rates. In conclusion, TAVI can be considered one of the treatment options for severe as presented as acute decompensated heart failure patients with pulmonary hypertension.

Keyword

Aortic valve stenosis; Heart failure; Emergency treatment; Heart valve prosthesis implantation

MeSH Terms

Aortic Valve Stenosis
Aortic Valve*
Comorbidity
Diagnosis
Emergencies*
Emergency Treatment
Heart Failure
Heart Valve Prosthesis Implantation
Humans
Hypertension, Pulmonary
Mortality