Pulmonary Hemorrhaging Caused by Acute Severe Mitral Regurgitation during Transcatheter Aortic Valve Implantation

Transcatheter aortic valve implantation (TAVI) has been validated as a reliable therapy for aortic stenosis (AS), similar to surgical aortic valve replacement. Due to the methodological differences between the two therapeutic options, each has unique complications. We experienced a hitherto unreport...

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Autores principales: Higuchi, Ryosuke, Tobaru, Tetsuya, Saji, Mike, Mahara, Keitaro, Takamisawa, Itaru, Shimizu, Jun, Takanashi, Shuichiro, Takayama, Morimasa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5938502/
https://www.ncbi.nlm.nih.gov/pubmed/29269676
http://dx.doi.org/10.2169/internalmedicine.9712-17
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author Higuchi, Ryosuke
Tobaru, Tetsuya
Saji, Mike
Mahara, Keitaro
Takamisawa, Itaru
Shimizu, Jun
Takanashi, Shuichiro
Takayama, Morimasa
author_facet Higuchi, Ryosuke
Tobaru, Tetsuya
Saji, Mike
Mahara, Keitaro
Takamisawa, Itaru
Shimizu, Jun
Takanashi, Shuichiro
Takayama, Morimasa
author_sort Higuchi, Ryosuke
collection PubMed
description Transcatheter aortic valve implantation (TAVI) has been validated as a reliable therapy for aortic stenosis (AS), similar to surgical aortic valve replacement. Due to the methodological differences between the two therapeutic options, each has unique complications. We experienced a hitherto unreported complication of TAVI. An 81-year-old man underwent TAVI for severe AS. Acute mitral regurgitation (MR) occurred during valve deployment. Interference of the guidewire with the mitral subvalvular structure caused transient severe MR, leading to the development of pulmonary hemorrhaging. During TAVI, careful attention should be paid to the position of the guidewire, changes in hemodynamics and degree of MR.
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spelling pubmed-59385022018-05-08 Pulmonary Hemorrhaging Caused by Acute Severe Mitral Regurgitation during Transcatheter Aortic Valve Implantation Higuchi, Ryosuke Tobaru, Tetsuya Saji, Mike Mahara, Keitaro Takamisawa, Itaru Shimizu, Jun Takanashi, Shuichiro Takayama, Morimasa Intern Med Case Report Transcatheter aortic valve implantation (TAVI) has been validated as a reliable therapy for aortic stenosis (AS), similar to surgical aortic valve replacement. Due to the methodological differences between the two therapeutic options, each has unique complications. We experienced a hitherto unreported complication of TAVI. An 81-year-old man underwent TAVI for severe AS. Acute mitral regurgitation (MR) occurred during valve deployment. Interference of the guidewire with the mitral subvalvular structure caused transient severe MR, leading to the development of pulmonary hemorrhaging. During TAVI, careful attention should be paid to the position of the guidewire, changes in hemodynamics and degree of MR. The Japanese Society of Internal Medicine 2017-12-21 2018-04-15 /pmc/articles/PMC5938502/ /pubmed/29269676 http://dx.doi.org/10.2169/internalmedicine.9712-17 Text en Copyright © 2018 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Higuchi, Ryosuke
Tobaru, Tetsuya
Saji, Mike
Mahara, Keitaro
Takamisawa, Itaru
Shimizu, Jun
Takanashi, Shuichiro
Takayama, Morimasa
Pulmonary Hemorrhaging Caused by Acute Severe Mitral Regurgitation during Transcatheter Aortic Valve Implantation
title Pulmonary Hemorrhaging Caused by Acute Severe Mitral Regurgitation during Transcatheter Aortic Valve Implantation
title_full Pulmonary Hemorrhaging Caused by Acute Severe Mitral Regurgitation during Transcatheter Aortic Valve Implantation
title_fullStr Pulmonary Hemorrhaging Caused by Acute Severe Mitral Regurgitation during Transcatheter Aortic Valve Implantation
title_full_unstemmed Pulmonary Hemorrhaging Caused by Acute Severe Mitral Regurgitation during Transcatheter Aortic Valve Implantation
title_short Pulmonary Hemorrhaging Caused by Acute Severe Mitral Regurgitation during Transcatheter Aortic Valve Implantation
title_sort pulmonary hemorrhaging caused by acute severe mitral regurgitation during transcatheter aortic valve implantation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5938502/
https://www.ncbi.nlm.nih.gov/pubmed/29269676
http://dx.doi.org/10.2169/internalmedicine.9712-17
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