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Acute torrential mitral regurgitation during transcatheter aortic valve replacement: a case report
BACKGROUND: Transcatheter aortic valve replacement (TAVR) is a minimally invasive approach to aortic valve replacement. However, critical cardiovascular collapse can occur during the procedure for various reasons. CASE PRESENTATION: A 90-year-old man with severe aortic stenosis and left circumflex a...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5906411/ https://www.ncbi.nlm.nih.gov/pubmed/29671237 http://dx.doi.org/10.1186/s40792-018-0446-z |
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author | Yamashita, Yoshiyuki Sonoda, Hiromichi Ushijima, Tomoki Shiose, Akira |
author_facet | Yamashita, Yoshiyuki Sonoda, Hiromichi Ushijima, Tomoki Shiose, Akira |
author_sort | Yamashita, Yoshiyuki |
collection | PubMed |
description | BACKGROUND: Transcatheter aortic valve replacement (TAVR) is a minimally invasive approach to aortic valve replacement. However, critical cardiovascular collapse can occur during the procedure for various reasons. CASE PRESENTATION: A 90-year-old man with severe aortic stenosis and left circumflex artery stenosis developed acute torrential mitral regurgitation (MR) during TAVR. The valve deployment process induced left ventricular dyssynchrony due to left bundle-branch block and myocardial ischemia in the left circumflex artery region with torrential MR. Transesophageal echocardiography clearly demonstrated the mechanisms of MR, which was successfully bailed out by left ventricular pacing and intra-aortic balloon pumping. CONCLUSIONS: MR can be seriously exaggerated by various and complicated mechanisms during TAVR and should be rapidly assessed and appropriately managed depending on its mechanisms. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s40792-018-0446-z) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-5906411 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-59064112018-04-24 Acute torrential mitral regurgitation during transcatheter aortic valve replacement: a case report Yamashita, Yoshiyuki Sonoda, Hiromichi Ushijima, Tomoki Shiose, Akira Surg Case Rep Case Report BACKGROUND: Transcatheter aortic valve replacement (TAVR) is a minimally invasive approach to aortic valve replacement. However, critical cardiovascular collapse can occur during the procedure for various reasons. CASE PRESENTATION: A 90-year-old man with severe aortic stenosis and left circumflex artery stenosis developed acute torrential mitral regurgitation (MR) during TAVR. The valve deployment process induced left ventricular dyssynchrony due to left bundle-branch block and myocardial ischemia in the left circumflex artery region with torrential MR. Transesophageal echocardiography clearly demonstrated the mechanisms of MR, which was successfully bailed out by left ventricular pacing and intra-aortic balloon pumping. CONCLUSIONS: MR can be seriously exaggerated by various and complicated mechanisms during TAVR and should be rapidly assessed and appropriately managed depending on its mechanisms. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s40792-018-0446-z) contains supplementary material, which is available to authorized users. Springer Berlin Heidelberg 2018-04-18 /pmc/articles/PMC5906411/ /pubmed/29671237 http://dx.doi.org/10.1186/s40792-018-0446-z Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Case Report Yamashita, Yoshiyuki Sonoda, Hiromichi Ushijima, Tomoki Shiose, Akira Acute torrential mitral regurgitation during transcatheter aortic valve replacement: a case report |
title | Acute torrential mitral regurgitation during transcatheter aortic valve replacement: a case report |
title_full | Acute torrential mitral regurgitation during transcatheter aortic valve replacement: a case report |
title_fullStr | Acute torrential mitral regurgitation during transcatheter aortic valve replacement: a case report |
title_full_unstemmed | Acute torrential mitral regurgitation during transcatheter aortic valve replacement: a case report |
title_short | Acute torrential mitral regurgitation during transcatheter aortic valve replacement: a case report |
title_sort | acute torrential mitral regurgitation during transcatheter aortic valve replacement: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5906411/ https://www.ncbi.nlm.nih.gov/pubmed/29671237 http://dx.doi.org/10.1186/s40792-018-0446-z |
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