A case of emergency transcatheter aortic valve replacement treatment for aortic stenosis complicated with acute heart failure shock in primary hospital
10.3969/j.issn.1004-8812.2024.05.011
- VernacularTitle:基层医院急诊经导管主动脉瓣置换术治疗主动脉瓣狭窄合并急性心力衰竭休克患者1例
- Author:
Huan GUO
1
;
Yu-Dong LI
;
Nian-Guo DONG
;
Xiao-Ke SHANG
;
Yu-Cheng ZHONG
;
Chang-Dong ZHANG
;
Ling-Bo ZHANG
Author Information
1. 临沧市人民医院心外科,云南临沧 677000
- Keywords:
Transcatheter aortic valve replacement;
Low left ventricular ejection fraction;
Cardiogenic shock;
Percutaneous coronary intervention;
Heart failure
- From:
Chinese Journal of Interventional Cardiology
2024;32(5):291-294
- CountryChina
- Language:Chinese
-
Abstract:
Aortic valve stenosis,as a common heart valve disease,progresses rapidly and has a poor clinical prognosis.In the case of combined acute heart failure,the pumping function of the heart is severely impaired,which may lead to a significant decrease in cardiac output,resulting in a state of shock.Transcatheter aortic valve replacement(TAVR)has become a first-line treatment for elderly patients with aortic valve stenosis since its first successful case in 2002.In China,with the advancement of technology and the strengthening of physician training,the capacity of grassroots hospitals in TAVR treatment is increasing.This case reports a patient with severe aortic valve stenosis accompanied by acute heart failure and shock status who received emergency TAVR treatment at a grassroots hospital.Due to limitations in conditions,TAVR was urgently implemented without extracorporeal circulation and extracorporeal membrane oxygenation support.The patient's blood pressure immediately rose to 105/65 mmHg after valve dilation during surgery,and the postoperative symptoms were significantly relieved.Follow up color Doppler ultrasound showed that the stenosis was relieved and the heart function was significantly improved.The success of this surgery provides a reference for emergency TAVR treatment in patients with severe aortic valve stenosis and heart failure in grassroots hospitals.
