PMID- 32633261
OWN - NLM
STAT- MEDLINE
DCOM- 20211203
LR  - 20211214
IS  - 1308-4488 (Electronic)
IS  - 1016-5169 (Linking)
VI  - 48
IP  - 5
DP  - 2020 Jul
TI  - Development of acute severe right heart failure after transcatheter aortic valve 
      implantation in patient with left ventricle assist device-acquired aortic 
      regurgitation.
PG  - 545-551
LID - 10.5543/tkda.2020.39132 [doi]
AB  - A 58-year-old man with a left ventricular assist device (LVAD), which had been 
      implanted 1 year earlier, presented with rest dyspnea. Moderate to severe aortic 
      regurgitation (AR), pre-postcapillary pulmonary hypertension, modarete right 
      ventricular (RV) failure, and low cardiac output were observed at presentation. 
      Transcatheter aortic valve implantation (TAVI) was performed to treat the AR and 
      a self-expandable aortic valve was implanted. Within minutes, hypotension, RV and 
      inferior vena cava dilatation, and left atrial (LA) and left ventricular (LV) 
      collapse occurred and persisted despite LVAD speed reduction. It was observed 
      that severe RV failure had developed and venoarterial extracorporeal membrane 
      oxygenation (VA-ECMO) was applied. Following VA-ECMO treatment, the RV dimensions 
      decreased, and the LA and LV dimensions began to increase, as well as the LVAD 
      flow. Weaning from VA-ECMO was unsuccessful and exitus occurred on the fifth day 
      after TAVI secondary to RV failure. It was surmised that the decrease in blood 
      circulation from the aorta to the LV after treatment of severe AR with TAVI 
      caused an acute increase in the cardiac output and the RV preload. The acute 
      increase in the RV preload led to acute severe right heart failure. It is 
      necessary to prepare the RV to compete with an acute increase in preload before 
      TAVI even when there is only modarete RV failure.
FAU - Bayram, Zubeyde
AU  - Bayram Z
AD  - Department of Cardiology, Kartal Kosuyolu High Speciality Training and Research 
      Hospital, Istanbul, Turkey.
FAU - Dogan, Cem
AU  - Dogan C
AD  - Department of Cardiology, Kartal Kosuyolu High Speciality Training and Research 
      Hospital, Istanbul, Turkey.
FAU - Gurcu, Emre
AU  - Gurcu E
AD  - Department of Cardiology, Kartal Kosuyolu High Speciality Training and Research 
      Hospital, Istanbul, Turkey.
FAU - Kaymaz, Cihangir
AU  - Kaymaz C
AD  - Department of Cardiology, Kartal Kosuyolu High Speciality Training and Research 
      Hospital, Istanbul, Turkey.
FAU - Ozdemir, Nihal
AU  - Ozdemir N
AD  - Department of Cardiology, Kartal Kosuyolu High Speciality Training and Research 
      Hospital, Istanbul, Turkey.
LA  - eng
PT  - Case Reports
TT  - Sol ventrikul destek cihazi kaynakli aort yetersizliginin transkateterik aort 
      kapak replasmani tedavisi sonrasi gelisen akut ciddi sag kalp yetersizligi.
PL  - Turkey
TA  - Turk Kardiyol Dern Ars
JT  - Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir
JID - 9426239
SB  - IM
MH  - Acute Disease
MH  - Aortic Valve Insufficiency/diagnostic imaging/*surgery
MH  - Cardiac Output, Low/diagnosis
MH  - Extracorporeal Membrane Oxygenation/methods
MH  - Fatal Outcome
MH  - Heart Failure/*etiology
MH  - Heart-Assist Devices/*adverse effects
MH  - Humans
MH  - Hypertension, Pulmonary/diagnosis
MH  - Male
MH  - Middle Aged
MH  - Postoperative Complications/*etiology/therapy
MH  - Transcatheter Aortic Valve Replacement/*adverse effects
MH  - Ventricular Dysfunction, Right/*etiology/therapy
EDAT- 2020/07/08 06:00
MHDA- 2021/12/15 06:00
CRDT- 2020/07/08 06:00
PHST- 2020/07/08 06:00 [entrez]
PHST- 2020/07/08 06:00 [pubmed]
PHST- 2021/12/15 06:00 [medline]
AID - 10.5543/tkda.2020.39132 [doi]
PST - ppublish
SO  - Turk Kardiyol Dern Ars. 2020 Jul;48(5):545-551. doi: 10.5543/tkda.2020.39132.