Rescue Transcatheter Aortic Valve Implantation and Simultaneous Percutaneous Coronary Intervention on Cardiopulmonary Bypass in a Patient with an Extreme Risk Profile
AbstractWe report on successful emergency transcatheter aortic valve implantation combined with percutaneous coronary revascularization in a polymorbid and preterminal patient in profound cardiogenic shock and with multiorgan failure. The risk scores were almost unbelievably high (Society of Thoracic Surgeons mortality score, 83.9%; Society of Thoracic Surgeons morbidity and mortality score, 96.8%; logistic EuroSCORE, 96.7%). Two and a half years after the procedure, the patient is doing very well.
Leon MB, Smith CR, Mack M, et al, for the PARTNER Trial Investigators. 2010. Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery. N Engl J Med 363:1597-7.nPasic M, Buz S, Dreysse S, et al. 2010. Transapical aortic valve implantation in 194 patients: problems, complications, and solutions. Ann Thorac Surg 90:1463-70.nPasic M, Dreysse S, Drews T, et al. 2010. Improved technique of transapical aortic valve implantation: "the Berlin addition." Ann Thorac Surg 89:2058-60.nPasic M, Unbehaun A, Dreysse S, et al. 2010. Transapical aortic valve implantation in 175 consecutive patients: excellent outcome in very high-risk patients. J Am Coll Cardiol 56:813-20.n
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