Rescue Strategy in Cardiogenic Shock: Emergency Transcatheter Aortic Valve Implantation for Failed Bioprosthetic Valve – Case Report
Background: Transcatheter aortic valve implantation (TAVI) has emerged as an essential therapeutic intervention for patients with severe aortic valve disease, providing a less invasive alternative to traditional surgery, particularly in high-risk individuals. TAVI is also increasingly utilized as a...
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| Format: | Article |
| Language: | English |
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Vilnius University Press
2025-02-01
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| Series: | Acta Medica Lituanica |
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| Online Access: | https://www.journals.vu.lt/AML/article/view/38199 |
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| _version_ | 1850284690880069632 |
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| author | Ricardas Kundelis Vilhelmas Bajoras Sigitas Čėsna Giedrius Davidavičius |
| author_facet | Ricardas Kundelis Vilhelmas Bajoras Sigitas Čėsna Giedrius Davidavičius |
| author_sort | Ricardas Kundelis |
| collection | DOAJ |
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Background: Transcatheter aortic valve implantation (TAVI) has emerged as an essential therapeutic intervention for patients with severe aortic valve disease, providing a less invasive alternative to traditional surgery, particularly in high-risk individuals. TAVI is also increasingly utilized as a valve-in-valve strategy in cases of a bioprosthetic valve failure. However, data on the efficacy of TAVI in the context of a hemodynamic collapse remain limited.
Methods: This report represents a young, high-risk patient with a failed bioprosthetic valve and cardiogenic shock treated successfully with TAVI.
Results: Emergency TAVI using a Medtronic Evolut Pro+ device achieved rapid hemodynamic stabilization and favorable post-procedural clinical and functional outcomes. Intermittent complete atrioventricular block necessitated the implantation of a permanent pacemaker.
Conclusions: This case highlights the potential of TAVI as a safe and effective intervention in critical clinical scenarios. Emergency TAVI is a viable therapeutic intervention for patients with failed surgical bioprostheses presenting with cardiogenic shock.
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| format | Article |
| id | doaj-art-619e924cec6e4c6f8b1300cf06d3861c |
| institution | OA Journals |
| issn | 1392-0138 2029-4174 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Vilnius University Press |
| record_format | Article |
| series | Acta Medica Lituanica |
| spelling | doaj-art-619e924cec6e4c6f8b1300cf06d3861c2025-08-20T01:47:29ZengVilnius University PressActa Medica Lituanica1392-01382029-41742025-02-0132110.15388/Amed.2025.32.1.1Rescue Strategy in Cardiogenic Shock: Emergency Transcatheter Aortic Valve Implantation for Failed Bioprosthetic Valve – Case ReportRicardas Kundelis0Vilhelmas Bajoras1https://orcid.org/0000-0002-0917-1442Sigitas Čėsna2https://orcid.org/0000-0001-7254-4099Giedrius Davidavičius3Vilnius UniversityVilnius UniversityVilnius UniversityVilnius University Background: Transcatheter aortic valve implantation (TAVI) has emerged as an essential therapeutic intervention for patients with severe aortic valve disease, providing a less invasive alternative to traditional surgery, particularly in high-risk individuals. TAVI is also increasingly utilized as a valve-in-valve strategy in cases of a bioprosthetic valve failure. However, data on the efficacy of TAVI in the context of a hemodynamic collapse remain limited. Methods: This report represents a young, high-risk patient with a failed bioprosthetic valve and cardiogenic shock treated successfully with TAVI. Results: Emergency TAVI using a Medtronic Evolut Pro+ device achieved rapid hemodynamic stabilization and favorable post-procedural clinical and functional outcomes. Intermittent complete atrioventricular block necessitated the implantation of a permanent pacemaker. Conclusions: This case highlights the potential of TAVI as a safe and effective intervention in critical clinical scenarios. Emergency TAVI is a viable therapeutic intervention for patients with failed surgical bioprostheses presenting with cardiogenic shock. https://www.journals.vu.lt/AML/article/view/38199TAVItranscatheter aortic valve implantationbioprosthetic valve failurecardiogenic shock |
| spellingShingle | Ricardas Kundelis Vilhelmas Bajoras Sigitas Čėsna Giedrius Davidavičius Rescue Strategy in Cardiogenic Shock: Emergency Transcatheter Aortic Valve Implantation for Failed Bioprosthetic Valve – Case Report Acta Medica Lituanica TAVI transcatheter aortic valve implantation bioprosthetic valve failure cardiogenic shock |
| title | Rescue Strategy in Cardiogenic Shock: Emergency Transcatheter Aortic Valve Implantation for Failed Bioprosthetic Valve – Case Report |
| title_full | Rescue Strategy in Cardiogenic Shock: Emergency Transcatheter Aortic Valve Implantation for Failed Bioprosthetic Valve – Case Report |
| title_fullStr | Rescue Strategy in Cardiogenic Shock: Emergency Transcatheter Aortic Valve Implantation for Failed Bioprosthetic Valve – Case Report |
| title_full_unstemmed | Rescue Strategy in Cardiogenic Shock: Emergency Transcatheter Aortic Valve Implantation for Failed Bioprosthetic Valve – Case Report |
| title_short | Rescue Strategy in Cardiogenic Shock: Emergency Transcatheter Aortic Valve Implantation for Failed Bioprosthetic Valve – Case Report |
| title_sort | rescue strategy in cardiogenic shock emergency transcatheter aortic valve implantation for failed bioprosthetic valve case report |
| topic | TAVI transcatheter aortic valve implantation bioprosthetic valve failure cardiogenic shock |
| url | https://www.journals.vu.lt/AML/article/view/38199 |
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