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Yeungnam Univ J Med > Volume 31(2); 2014 > Article
Yeungnam University Journal of Medicine 2014;31(2):144-147.
DOI: https://doi.org/10.12701/yujm.2014.31.2.144    Published online December 31, 2014.
Successful emergency transcatheter aortic valve implantation.
Jung Hee Lee, Ah Young Ji, Young Ju Kim, Changho Song, Moo Nyun Jin, Sun Wook Kim, Myeong Ki Hong, Geu Ru Hong
1Division of Cardiology, Yonsei University College of Medicine, Severance Cardiovascular Hospital, Yonsei University Health System, Seoul, Korea. grhong@yuhs.ac
2Severance Biomedical Science Institute, Yonsei University College of Medicine, Seoul, Korea.
Abstract
Despite the necessity of surgical aortic valve replacement, many patients with symptomatic severe aortic stenosis (AS) cannot undergo surgery because of their severe comorbidities. In these high-risk patients, percutaneous transcatheter aortic valve implantation (TAVI) can be safely accomplished. However, no study has shown that TAVI can be performed for patients with severe AS accompanied by acute decompensated heart failure. In this case report, 1 patient presented a case of severe pulmonary hypertension with decompensated heart failure after diagnosis with severe AS, and was successfully treated via emergency TAVI. Without any invasive treatment, acute decompensated heart failure with severe pulmonary hypertension is common in patients with severe AS, and it can increase mortality rates. In conclusion, TAVI can be considered one of the treatment options for severe as presented as acute decompensated heart failure patients with pulmonary hypertension.
Key Words: Aortic valve stenosis, Heart failure, Emergency treatment, Heart valve prosthesis implantation
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