Emergency Valve-in-Valve Transcatheter Aortic Valve Implantation for the Treatment of Acute Stentless Bioprosthetic Aortic Insufficiency and Cardiogenic Shock

Bioprosthetic aortic valve degeneration may present as acute, severe aortic regurgitation and cardiogenic shock. Such patients may be unsuitable for emergency valve replacement surgery due to excessive risk of operative mortality but could be treatable with transfemoral valve-in-valve transcatheter...

Full description

Saved in:
Bibliographic Details
Main Authors: Ivan D. Hanson, Pratik K. Dalal, Brian M. Renard, George S. Hanzel, Alessandro Vivacqua
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2018/6872748
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849307440499130368
author Ivan D. Hanson
Pratik K. Dalal
Brian M. Renard
George S. Hanzel
Alessandro Vivacqua
author_facet Ivan D. Hanson
Pratik K. Dalal
Brian M. Renard
George S. Hanzel
Alessandro Vivacqua
author_sort Ivan D. Hanson
collection DOAJ
description Bioprosthetic aortic valve degeneration may present as acute, severe aortic regurgitation and cardiogenic shock. Such patients may be unsuitable for emergency valve replacement surgery due to excessive risk of operative mortality but could be treatable with transfemoral valve-in-valve transcatheter aortic valve implantation (TAVI). There is a paucity of data regarding the feasibility of valve-in-valve TAVI in patients presenting with cardiogenic shock due to acute aortic insufficiency from stentless bioprosthetic valve degeneration. We present one such case, highlighting the unique aspects of valve-in-valve TAVI for this challenging patient subset.
format Article
id doaj-art-2108d7a38a7845a783c9099e7e8e78e4
institution Kabale University
issn 2090-6404
2090-6412
language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series Case Reports in Cardiology
spelling doaj-art-2108d7a38a7845a783c9099e7e8e78e42025-08-20T03:54:47ZengWileyCase Reports in Cardiology2090-64042090-64122018-01-01201810.1155/2018/68727486872748Emergency Valve-in-Valve Transcatheter Aortic Valve Implantation for the Treatment of Acute Stentless Bioprosthetic Aortic Insufficiency and Cardiogenic ShockIvan D. Hanson0Pratik K. Dalal1Brian M. Renard2George S. Hanzel3Alessandro Vivacqua4Department of Cardiovascular Medicine, Beaumont Health System, Royal Oak, MI, USADepartment of Cardiovascular Medicine, Beaumont Health System, Royal Oak, MI, USADepartment of Cardiovascular Medicine, Beaumont Health System, Royal Oak, MI, USADepartment of Cardiovascular Medicine, Beaumont Health System, Royal Oak, MI, USADepartment of Cardiovascular Surgery, Beaumont Health System, Royal Oak, MI, USABioprosthetic aortic valve degeneration may present as acute, severe aortic regurgitation and cardiogenic shock. Such patients may be unsuitable for emergency valve replacement surgery due to excessive risk of operative mortality but could be treatable with transfemoral valve-in-valve transcatheter aortic valve implantation (TAVI). There is a paucity of data regarding the feasibility of valve-in-valve TAVI in patients presenting with cardiogenic shock due to acute aortic insufficiency from stentless bioprosthetic valve degeneration. We present one such case, highlighting the unique aspects of valve-in-valve TAVI for this challenging patient subset.http://dx.doi.org/10.1155/2018/6872748
spellingShingle Ivan D. Hanson
Pratik K. Dalal
Brian M. Renard
George S. Hanzel
Alessandro Vivacqua
Emergency Valve-in-Valve Transcatheter Aortic Valve Implantation for the Treatment of Acute Stentless Bioprosthetic Aortic Insufficiency and Cardiogenic Shock
Case Reports in Cardiology
title Emergency Valve-in-Valve Transcatheter Aortic Valve Implantation for the Treatment of Acute Stentless Bioprosthetic Aortic Insufficiency and Cardiogenic Shock
title_full Emergency Valve-in-Valve Transcatheter Aortic Valve Implantation for the Treatment of Acute Stentless Bioprosthetic Aortic Insufficiency and Cardiogenic Shock
title_fullStr Emergency Valve-in-Valve Transcatheter Aortic Valve Implantation for the Treatment of Acute Stentless Bioprosthetic Aortic Insufficiency and Cardiogenic Shock
title_full_unstemmed Emergency Valve-in-Valve Transcatheter Aortic Valve Implantation for the Treatment of Acute Stentless Bioprosthetic Aortic Insufficiency and Cardiogenic Shock
title_short Emergency Valve-in-Valve Transcatheter Aortic Valve Implantation for the Treatment of Acute Stentless Bioprosthetic Aortic Insufficiency and Cardiogenic Shock
title_sort emergency valve in valve transcatheter aortic valve implantation for the treatment of acute stentless bioprosthetic aortic insufficiency and cardiogenic shock
url http://dx.doi.org/10.1155/2018/6872748
work_keys_str_mv AT ivandhanson emergencyvalveinvalvetranscatheteraorticvalveimplantationforthetreatmentofacutestentlessbioprostheticaorticinsufficiencyandcardiogenicshock
AT pratikkdalal emergencyvalveinvalvetranscatheteraorticvalveimplantationforthetreatmentofacutestentlessbioprostheticaorticinsufficiencyandcardiogenicshock
AT brianmrenard emergencyvalveinvalvetranscatheteraorticvalveimplantationforthetreatmentofacutestentlessbioprostheticaorticinsufficiencyandcardiogenicshock
AT georgeshanzel emergencyvalveinvalvetranscatheteraorticvalveimplantationforthetreatmentofacutestentlessbioprostheticaorticinsufficiencyandcardiogenicshock
AT alessandrovivacqua emergencyvalveinvalvetranscatheteraorticvalveimplantationforthetreatmentofacutestentlessbioprostheticaorticinsufficiencyandcardiogenicshock