PMID- 30113488
OWN - NLM
STAT- MEDLINE
DCOM- 20180824
LR  - 20220321
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Print)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 33
DP  - 2018 Aug
TI  - Aortic stenosis complicated by cardiogenic shock treated by transcatheter aortic 
      valve replacement with extracorporeal membrane oxygenation: A case report.
PG  - e11900
LID - 10.1097/MD.0000000000011900 [doi]
LID - e11900
AB  - RATIONALE: Cardiogenic shock secondary to aortic stenosis (AS) is a challenging 
      problem owing to the high mortality associated with treatment, and successful 
      treatment of such patients has been rare. PATIENT CONCERNS: A 77-year-old man 
      presented with exercise intolerance and progressive exertional dyspnea and chest 
      pain. The patient was suffered from cardiogenic shock after percutaneous coronary 
      intervention. DIAGNOSIS: He was diagnosed by transthoracic echocardiography (TTE) 
      and coronary angiogram. His main diagnose was AS and coronary artery disease. 
      INTERVENTION: The patient received venoarterial extracorporeal membrane 
      oxygenation (VA-ECMO) and transcatheter aortic valve replacement (TAVR). OUTCOME: 
      As of the 5-month follow-up, the patient was well, and capable of basic 
      independent living. The TTE suggested that the left ventricular end-diastolic 
      volume had decreased from 66 to 45 mm and the left ventricular ejection fraction 
      had risen from 20% to 50%. LESSONS: Patients with cardiogenic shock secondary to 
      AS are very difficult to treat medically. ECMO with TAVR may be a reasonable 
      strategy.
FAU - Huang, Jiabing
AU  - Huang J
AD  - Department of Cardiovascular Medicine, The Second Xiangya Hospital of Central 
      South University, Changsha, China.
FAU - Chen, Pengfei
AU  - Chen P
FAU - Hu, Xinqun
AU  - Hu X
FAU - Tang, Jianjun
AU  - Tang J
FAU - Fang, Zhenfei
AU  - Fang Z
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - IM
MH  - Aged
MH  - Aortic Valve Stenosis/complications/surgery/*therapy
MH  - Combined Modality Therapy/methods
MH  - Coronary Artery Disease/diagnosis
MH  - Extracorporeal Membrane Oxygenation/*methods
MH  - Humans
MH  - Male
MH  - Shock, Cardiogenic/etiology/*surgery/*therapy
MH  - Transcatheter Aortic Valve Replacement/*methods
PMC - PMC6112961
COIS- All authors declare no conflicts of interest regarding funding or any other 
      matter.
EDAT- 2018/08/17 06:00
MHDA- 2018/08/25 06:00
PMCR- 2018/08/17
CRDT- 2018/08/17 06:00
PHST- 2018/08/17 06:00 [entrez]
PHST- 2018/08/17 06:00 [pubmed]
PHST- 2018/08/25 06:00 [medline]
PHST- 2018/08/17 00:00 [pmc-release]
AID - 00005792-201808170-00039 [pii]
AID - MD-D-18-02367 [pii]
AID - 10.1097/MD.0000000000011900 [doi]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Aug;97(33):e11900. doi: 10.1097/MD.0000000000011900.