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Successful emergency transcatheter aortic valve implantation

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초록

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.

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.

참고문헌 (8)

  1. Grube E, "Percutaneous aortic valve replacement for severe aortic stenosis in high-risk patients using the secondand current third-generation self-expanding CoreValve prosthesis:device success and 30-day clinical outcome", J Am Coll Cardiol, 50, pp.69~76 (2007)
  2. Webb JG, "Transcatheter aortic valve implantation: impact on clinical and valve-related outcomes", Circulation, 119, pp.3009~3016 (2009)
  3. Leon MB, "Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery", N Engl J Med, 363, pp.1597~1607 (2010)
  4. Ben-Dor I, "Clinical profile, prognostic implication, and response to treatment of pulmonary hypertension in patients with severe aortic stenosis", Am J Cardiol, 107, pp.'1046~1051 (2011)
  5. Roselli EE, "Pulmonary hypertension is associated with worse early and late outcomes after aortic valve replacement:implications for transcatheter aortic valve replacement", J Thorac Cardiovasc Surg, 144, pp.1067~1074 (2012)
  6. Bonow RO, "2008 Focused update incorporated into the ACC", AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology, Circulation, pp.2008, 118[DOI]
  7. Cribier A, "Percutaneous transcatheter implantation of an aortic valve prosthesis for calcific aortic stenosis: first human case description", Circulation, 106, pp.3006~3008 (2002)
  8. Miceli A, "Impact of pulmonary hypertension on mortality after operation for isolated aortic valve stenosis", Int J Cardiol, 168, pp.3556~3559 (2013)

관련 논문AI추천

Comparison of Early Clinical Outcomes Following Transcatheter Aortic Valve Implantation versus Surgical Aortic Valve Replacement versus Optimal Medical Therapy in Patients Older than 80 Years with Symptomatic Severe Aortic Stenosis이삭, 임의, 고영국, 곽영란, 김병극, 김중선, 신동호, 심재광, 심지영, 장병철, 장양수, 장혁재, 최동훈, 홍명기연세대학교의과대학 · Yonsei Medical Journal2013 · 제54권 제3호Multidisciplinary Team Approach for Identifying Potential Candidate for Transcatheter Aortic Valve Implantation이삭, 고영국, 곽영란, 심재광, 장병철, 장양수, 최동훈, 홍그루, 홍명기, 홍성진연세대학교의과대학 · Yonsei Medical Journal2014 · 제55권 제5호Recent updates in transcatheter aortic valve implantation김웅, 조정환영남대학교 의과대학 · Journal of Yeungnam Medical Science2018 · 제35권 제1호Immediate and Evolutionary Recovery of Left Ventricular Diastolic Function after Transcatheter Aortic Valve Replacement: Comparison with Surgery유상용, 하상진, 홍그루, 홍명기연세대학교의과대학 · Yonsei Medical Journal2020 · 제61권 제1호Expanding transcatheter aortic valve replacement into uncharted indicationsGuson Kang, Juyong Brian Kim대한내과학회 · The Korean Journal of Internal Medicine2018 · 제33권 제3호Contrast-free (Zero-contrast) TAVR for Severe Aortic Stenosis in Patient with Chronic Kidney Disease고영국, 김다래, 홍그루, 홍명기, Chul-Min Ahn, Yeon-Jik Choi한국지질동맥경화학회 · 지질·동맥경화학회지2018 · 제7권 제1호

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