PMID- 37890858
OWN - NLM
STAT- MEDLINE
DCOM- 20231129
LR  - 20231130
IS  - 2055-5822 (Electronic)
IS  - 2055-5822 (Linking)
VI  - 10
IP  - 6
DP  - 2023 Dec
TI  - Severe aortic insufficiency-induced cardiogenic shock treated with left atrial 
      VA-ECMO and emergent valve-in-valve TAVR.
PG  - 3718-3724
LID - 10.1002/ehf2.14561 [doi]
AB  - Conventional venoarterial extracorporeal membrane oxygenation (VA-ECMO) places a 
      functional afterload burden on the left ventricle. In the setting of acute severe 
      aortic insufficiency-induced cardiogenic shock, the utility of VA-ECMO in 
      combination with a failing valve may result in catastrophic haemodynamic 
      consequences. This challenge is compounded when the culprit is a failing surgical 
      bioprosthetic valve. We present a case of severe rapid-onset bioprosthetic aortic 
      insufficiency-induced cardiogenic shock successfully resuscitated with left 
      atrial VA-ECMO promptly followed by emergent percutaneous valve-in-valve 
      transaortic valve replacement. We discuss the logistics, implications, and 
      associated haemodynamic manifestations in utilizing this strategy for such 
      disease processes.
CI  - (c) 2023 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on 
      behalf of European Society of Cardiology.
FAU - Golzarian, Hafez
AU  - Golzarian H
AD  - Internal Medicine Residency Program, Mercy Health-St. Rita's Medical Center, 
      Lima, OH, USA.
FAU - Thiel, Arielle
AU  - Thiel A
AD  - Structural Heart and Intervention Center, Mercy Health-St. Rita's Medical Center, 
      730 West Market Street, 2K Tower, Lima, OH, 45801, USA.
FAU - Hempfling, Gerri
AU  - Hempfling G
AD  - Structural Heart and Intervention Center, Mercy Health-St. Rita's Medical Center, 
      730 West Market Street, 2K Tower, Lima, OH, 45801, USA.
FAU - Otto, Michael
AU  - Otto M
AD  - Cardiothoracic Surgery, Mercy Health-St. Rita's Medical Center, Lima, OH, USA.
FAU - Otto, Todd
AU  - Otto T
AD  - Cardiothoracic Surgery, Mercy Health-St. Rita's Medical Center, Lima, OH, USA.
FAU - Shappell, Emily
AU  - Shappell E
AD  - Structural Heart and Intervention Center, Mercy Health-St. Rita's Medical Center, 
      730 West Market Street, 2K Tower, Lima, OH, 45801, USA.
FAU - Racer, Lisa
AU  - Racer L
AD  - Structural Heart and Intervention Center, Mercy Health-St. Rita's Medical Center, 
      730 West Market Street, 2K Tower, Lima, OH, 45801, USA.
FAU - Martz, Denise
AU  - Martz D
AD  - Structural Heart and Intervention Center, Mercy Health-St. Rita's Medical Center, 
      730 West Market Street, 2K Tower, Lima, OH, 45801, USA.
FAU - Recker-Herman, Christine M
AU  - Recker-Herman CM
AD  - Department of Critical Care, Mercy Health-St. Rita's Medical Center, Lima, OH, 
      USA.
FAU - Laird, Amanda
AU  - Laird A
AD  - Department of Critical Care, Mercy Health-St. Rita's Medical Center, Lima, OH, 
      USA.
FAU - Cole, William C
AU  - Cole WC
AD  - Department of Critical Care, Mercy Health-St. Rita's Medical Center, Lima, OH, 
      USA.
FAU - Sirak, John
AU  - Sirak J
AD  - Cardiothoracic Surgery, Mercy Health-St. Rita's Medical Center, Lima, OH, USA.
FAU - Patel, Sandeep M
AU  - Patel SM
AD  - Structural Heart and Intervention Center, Mercy Health-St. Rita's Medical Center, 
      730 West Market Street, 2K Tower, Lima, OH, 45801, USA.
LA  - eng
PT  - Case Reports
DEP - 20231027
PL  - England
TA  - ESC Heart Fail
JT  - ESC heart failure
JID - 101669191
SB  - IM
MH  - Humans
MH  - Shock, Cardiogenic/etiology/therapy
MH  - *Extracorporeal Membrane Oxygenation
MH  - *Transcatheter Aortic Valve Replacement/adverse effects
MH  - *Atrial Fibrillation
MH  - *Aortic Valve Insufficiency/complications/diagnosis
PMC - PMC10682863
OTO - NOTNLM
OT  - Aortic insufficiency
OT  - Cardiogenic shock
OT  - Haemodynamics
OT  - LAVA-ECMO
OT  - Mechanical circulatory support
OT  - ViV-TAVR
COIS- The authors have no financial or personal relationships to disclose.
EDAT- 2023/10/28 11:42
MHDA- 2023/11/29 06:42
PMCR- 2023/10/27
CRDT- 2023/10/27 19:53
PHST- 2023/09/05 00:00 [revised]
PHST- 2023/02/01 00:00 [received]
PHST- 2023/10/03 00:00 [accepted]
PHST- 2023/11/29 06:42 [medline]
PHST- 2023/10/28 11:42 [pubmed]
PHST- 2023/10/27 19:53 [entrez]
PHST- 2023/10/27 00:00 [pmc-release]
AID - EHF214561 [pii]
AID - 10.1002/ehf2.14561 [doi]
PST - ppublish
SO  - ESC Heart Fail. 2023 Dec;10(6):3718-3724. doi: 10.1002/ehf2.14561. Epub 2023 Oct 
      27.