Acute torrential mitral regurgitation during transcatheter aortic valve replacement: a case report
Abstract Background Transcatheter aortic valve replacement (TAVR) is a minimally invasive approach to aortic valve replacement. However, critical cardiovascular collapse can occur during the procedure for various reasons. Case presentation A 90-year-old man with severe aortic stenosis and left circu...
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| Format: | Article |
| Language: | English |
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Japan Surgical Society
2018-04-01
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| Series: | Surgical Case Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s40792-018-0446-z |
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| author | Yoshiyuki Yamashita Hiromichi Sonoda Tomoki Ushijima Akira Shiose |
| author_facet | Yoshiyuki Yamashita Hiromichi Sonoda Tomoki Ushijima Akira Shiose |
| author_sort | Yoshiyuki Yamashita |
| collection | DOAJ |
| description | Abstract Background Transcatheter aortic valve replacement (TAVR) is a minimally invasive approach to aortic valve replacement. However, critical cardiovascular collapse can occur during the procedure for various reasons. Case presentation A 90-year-old man with severe aortic stenosis and left circumflex artery stenosis developed acute torrential mitral regurgitation (MR) during TAVR. The valve deployment process induced left ventricular dyssynchrony due to left bundle-branch block and myocardial ischemia in the left circumflex artery region with torrential MR. Transesophageal echocardiography clearly demonstrated the mechanisms of MR, which was successfully bailed out by left ventricular pacing and intra-aortic balloon pumping. Conclusions MR can be seriously exaggerated by various and complicated mechanisms during TAVR and should be rapidly assessed and appropriately managed depending on its mechanisms. |
| format | Article |
| id | doaj-art-ac8dccaccf5c4d4fbd7f4b1fad77abc1 |
| institution | Kabale University |
| issn | 2198-7793 |
| language | English |
| publishDate | 2018-04-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-ac8dccaccf5c4d4fbd7f4b1fad77abc12025-08-20T03:35:24ZengJapan Surgical SocietySurgical Case Reports2198-77932018-04-01411410.1186/s40792-018-0446-zAcute torrential mitral regurgitation during transcatheter aortic valve replacement: a case reportYoshiyuki Yamashita0Hiromichi Sonoda1Tomoki Ushijima2Akira Shiose3Department of Cardiovascular Surgery, Kyushu University HospitalDepartment of Cardiovascular Surgery, Kyushu University HospitalDepartment of Cardiovascular Surgery, Kyushu University HospitalDepartment of Cardiovascular Surgery, Kyushu University HospitalAbstract Background Transcatheter aortic valve replacement (TAVR) is a minimally invasive approach to aortic valve replacement. However, critical cardiovascular collapse can occur during the procedure for various reasons. Case presentation A 90-year-old man with severe aortic stenosis and left circumflex artery stenosis developed acute torrential mitral regurgitation (MR) during TAVR. The valve deployment process induced left ventricular dyssynchrony due to left bundle-branch block and myocardial ischemia in the left circumflex artery region with torrential MR. Transesophageal echocardiography clearly demonstrated the mechanisms of MR, which was successfully bailed out by left ventricular pacing and intra-aortic balloon pumping. Conclusions MR can be seriously exaggerated by various and complicated mechanisms during TAVR and should be rapidly assessed and appropriately managed depending on its mechanisms.http://link.springer.com/article/10.1186/s40792-018-0446-zTranscatheter aortic valve implantationIschemic mitral regurgitationConduction disturbance |
| spellingShingle | Yoshiyuki Yamashita Hiromichi Sonoda Tomoki Ushijima Akira Shiose Acute torrential mitral regurgitation during transcatheter aortic valve replacement: a case report Surgical Case Reports Transcatheter aortic valve implantation Ischemic mitral regurgitation Conduction disturbance |
| title | Acute torrential mitral regurgitation during transcatheter aortic valve replacement: a case report |
| title_full | Acute torrential mitral regurgitation during transcatheter aortic valve replacement: a case report |
| title_fullStr | Acute torrential mitral regurgitation during transcatheter aortic valve replacement: a case report |
| title_full_unstemmed | Acute torrential mitral regurgitation during transcatheter aortic valve replacement: a case report |
| title_short | Acute torrential mitral regurgitation during transcatheter aortic valve replacement: a case report |
| title_sort | acute torrential mitral regurgitation during transcatheter aortic valve replacement a case report |
| topic | Transcatheter aortic valve implantation Ischemic mitral regurgitation Conduction disturbance |
| url | http://link.springer.com/article/10.1186/s40792-018-0446-z |
| work_keys_str_mv | AT yoshiyukiyamashita acutetorrentialmitralregurgitationduringtranscatheteraorticvalvereplacementacasereport AT hiromichisonoda acutetorrentialmitralregurgitationduringtranscatheteraorticvalvereplacementacasereport AT tomokiushijima acutetorrentialmitralregurgitationduringtranscatheteraorticvalvereplacementacasereport AT akirashiose acutetorrentialmitralregurgitationduringtranscatheteraorticvalvereplacementacasereport |