Cardiovascular collapse during transcatheter aortic valve replacement: a case report_West China Medical Journal

Authors：

LI Longjun ¹ , WANG Huawei ¹ , PENG Yunzhu ¹ , SUN Huang ¹ , LI Ruijie ¹ , HUANG Yu ¹ , SUN Yue ¹ , CHEN Huamei ² , HAN Dan ³ ,  MENG Zhaohui ¹

1. Department of Cardiology, the First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan 650032, P. R. China;
2. Department of Anesthesiology, the First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan 650032, P. R. China;
3. Department of Medical Imaging, the First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan 650032, P. R. China;

Corresponding author：

MENG Zhaohui, Email: zhhmeng@aliyun.com

Keywords：

Aortic stenosis; Transcatheter aortic valve replacement; Cardiovascular collapse

DOI：

10.7507/1002-0179.202002394

Video：

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Transcatheter aortic valve replacement (TAVR) is a reasonable alternative for patients with severe aortic stenosis who are at a medium or high risk from surgery, and it’s gradually extended to low-risk groups. The safety of surgery is confirmed with the advancement of technology and the improvement of surgical instruments, but surgical complications are still common. Cardiovascular collapse is the leading cause of death during the surgery and not rare. This article reported a case of cardiovascular collapse during TAVR who were successfully rescued, while literature review on the causes and treatment of cardiovascular collapse were made.

Citation： LI Longjun, WANG Huawei, PENG Yunzhu, SUN Huang, LI Ruijie, HUANG Yu, SUN Yue, CHEN Huamei, HAN Dan, MENG Zhaohui. Cardiovascular collapse during transcatheter aortic valve replacement: a case report. West China Medical Journal, 2020, 35(4): 471-475. doi: 10.7507/1002-0179.202002394 Copy

1.	中国医师协会心血管内科医师分会结构性心脏病专业委员, 中华医学会心血管病学分会结构性心脏病学组. 经导管主动脉瓣置换术中国专家共识. 中国介入心脏病学杂志, 2015, 23(12): 661-667.
2.	中华医学会心血管病学分会结构性心脏病学组, 中国医师协会心血管内科医师分会结构性心脏病专业委员. 中国经导管主动脉瓣置换术临床路径专家共识. 中国介入心脏病学杂志, 2018, 26(12): 661-668.
3.	郭帅, 张斌, 吴永健. 经导管主动脉瓣置换术的最新进展. 中国医刊, 2020, 55(1): 4-7.
4.	Liu X, He Y, Zhu Q, et al. Supra-annular structure assessment for self-expanding transcatheter heart valve size selection in patients with bicuspid aortic valve. Catheter Cardiovasc Interv, 2018, 91(5): 986-994.
5.	Cribier A, Eltchaninoff H, Bash A, et al. Percutaneous transcatheter implantation of an aortic valve prosthesis for calcific aortic stenosis: first human case description. Circulation, 2002, 106(24): 3006-3008.
6.	Leon MB, Smith CR, Mack MJ, et al. Transcatheter or surgical aortic-valve replacement in intermediate-risk patients. N Engl J Med, 2016, 374(17): 1609-1620.
7.	Jørgensen TH. Transcatheter aortic valve replacement in patients with lower surgical risk. JACC Cardiovasc Interv, 2020, 13(3): 332-334.
8.	Salaun E, Pibarot P, Rodés-Cabau J. Transcatheter aortic valve replacement: procedure and outcomes. Cardiol Clin, 2020, 38(1): 115-128.
9.	EL-Gamel A. Cardiovascular collapse during transcatheter aortic valve replacement: diagnosis and treatment of the “perilous pentad”. Aorta (Stamford), 2013, 1(6): 276-282.
10.	Trenkwalder T, Pellegrini C, Holzamer A, et al. Prophylactic ECMO during TAVI in patients with depressed left ventricular ejection fraction. Clin Res Cardiol, 2019, 108(4): 366-374.
11.	Singh V, Damluji AA, Mendirichaga R, et al. Elective or emergency use of mechanical circulatory support devices during transcatheter aortic valve replacement. J Interv Cardiol, 2016, 29(5): 513-522.
12.	王圣, 黄乾海, 陈现杰, 等. 经导管主动脉瓣置入术后常见并发症及处理措施. 心肺血管病杂志, 2019, 38(5): 584-587.
13.	潘文志, 张蕾, 张晓春, 等. 经导管主动脉瓣置换术中循环崩溃成功抢救2例. 中国介入心脏病学杂志, 2017, 25(3): 172-173.

1. 中国医师协会心血管内科医师分会结构性心脏病专业委员, 中华医学会心血管病学分会结构性心脏病学组. 经导管主动脉瓣置换术中国专家共识. 中国介入心脏病学杂志, 2015, 23(12): 661-667.
2. 中华医学会心血管病学分会结构性心脏病学组, 中国医师协会心血管内科医师分会结构性心脏病专业委员. 中国经导管主动脉瓣置换术临床路径专家共识. 中国介入心脏病学杂志, 2018, 26(12): 661-668.
3. 郭帅, 张斌, 吴永健. 经导管主动脉瓣置换术的最新进展. 中国医刊, 2020, 55(1): 4-7.
4. Liu X, He Y, Zhu Q, et al. Supra-annular structure assessment for self-expanding transcatheter heart valve size selection in patients with bicuspid aortic valve. Catheter Cardiovasc Interv, 2018, 91(5): 986-994.
5. Cribier A, Eltchaninoff H, Bash A, et al. Percutaneous transcatheter implantation of an aortic valve prosthesis for calcific aortic stenosis: first human case description. Circulation, 2002, 106(24): 3006-3008.
6. Leon MB, Smith CR, Mack MJ, et al. Transcatheter or surgical aortic-valve replacement in intermediate-risk patients. N Engl J Med, 2016, 374(17): 1609-1620.
7. Jørgensen TH. Transcatheter aortic valve replacement in patients with lower surgical risk. JACC Cardiovasc Interv, 2020, 13(3): 332-334.
8. Salaun E, Pibarot P, Rodés-Cabau J. Transcatheter aortic valve replacement: procedure and outcomes. Cardiol Clin, 2020, 38(1): 115-128.
9. EL-Gamel A. Cardiovascular collapse during transcatheter aortic valve replacement: diagnosis and treatment of the “perilous pentad”. Aorta (Stamford), 2013, 1(6): 276-282.
10. Trenkwalder T, Pellegrini C, Holzamer A, et al. Prophylactic ECMO during TAVI in patients with depressed left ventricular ejection fraction. Clin Res Cardiol, 2019, 108(4): 366-374.
11. Singh V, Damluji AA, Mendirichaga R, et al. Elective or emergency use of mechanical circulatory support devices during transcatheter aortic valve replacement. J Interv Cardiol, 2016, 29(5): 513-522.
12. 王圣, 黄乾海, 陈现杰, 等. 经导管主动脉瓣置入术后常见并发症及处理措施. 心肺血管病杂志, 2019, 38(5): 584-587.
13. 潘文志, 张蕾, 张晓春, 等. 经导管主动脉瓣置换术中循环崩溃成功抢救2例. 中国介入心脏病学杂志, 2017, 25(3): 172-173.

West China Medical Journal

Cardiovascular collapse during transcatheter aortic valve replacement: a case report

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