Abstract
Recent evidence suggests that transcatheter aortic valve replacement (TAVR) is feasible for treating severe aortic valve stenosis (AS) in patients who are considered high risk for elective surgery. However, it is still unclear whether TAVR is a better option than surgical aortic valve replacement for severe AS with acute decompensated heart failure. We report a case of severe AS with acute heart failure, which was treated successfully by urgent TAVR, with cardiopulmonary support.
References
McHenry MM, Rice J, Matlof HJ, Flamm MD Jr. Pulmonary hypertension and sudden death in aortic stenosis. Br Heart J. 1979;41(4):463–7.
Smith CR, Leon MB, Mack MJ, Miller DC, Moses JW, Svensson LG, et al. Transcatheter versus surgical aortic-valve replacement in high-risk patients. N Engl J Med. 2011;364:2187–98.
Leon MB, Smith CR, Mack M, Miller DC, Moses JW, Svensson LG, et al. Transcatheter aortic valve implantation for aortic stenosis in patients who cannot undergo surgery. N Engl J Med. 2010;363:1597–607.
Sharony R, Grossi EA, Saunders PC, Schwartz CF, Ciuffo GB, Baumann FG, et al. Aortic valve replacement in patients with impaired ventricular function. Ann Thorac Surg. 2003;75:1808–14.
Unbehaun A, Pasic M, Buz S, Dreysse S, Kukucka M, Hetzer R, et al. Transapical aortic valve implantation in patients with severely depressed left ventricular function. J Thorac Cardiovasc Surg. 2012;143:1356–63.
Maeda K, Kuratani T, Torikai K, Shimamura K, Sawa Y. On-pump transcatheter aortic valve replacement in patients with poor left ventricular function. J Card Surg. 2012;27:686–8.
Doguet F, Godin M, Lebreton G, Eltchaninoff H, Cribier A, Bessou JP, et al. Aortic valve replacement after percutaneous valvuloplasty—an approach in otherwise inoperable patients. Eur J Cardiothorac Surg. 2010;38:394–9.
Bonow RO, Carabello BA, Kanu C, de Leon AC, Faxon DP Jr, Freed MD, et al. ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to revise the 1998 guidelines for the management of patients with valvular heart disease): developed in collaboration with the Society of Cardiovascular Anesthesiologists: endorsed by the Society for Cardiovascular Angiography and Interventions and the Society of Thoracic Surgeons. Circulation. 2006;114:e84–231.
Conflict of interest
Noriyuki Kashiyama and his co-authors have no conflicts of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kashiyama, N., Kuratani, T., Torikai, K. et al. Urgent transcatheter aortic valve replacement for severe aortic valve stenosis with acute decompensated heart failure: report of a case. Surg Today 45, 911–914 (2015). https://doi.org/10.1007/s00595-014-1059-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00595-014-1059-1