Anesthetic considerations of percutaneous transcatheter aortic valve implantation: first attempt in Korea: A report of 2 cases.
10.4097/kjae.2011.60.2.128
- Author:
Hyo Jung SON
1
;
Hwa Mi LEE
;
Ji Hyun CHIN
;
Dae Kee CHOI
;
Eun Ho LEE
;
Ji Yeon SIM
;
In Cheol CHOI
Author Information
1. Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. icchoi@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Anesthesia;
Aortic stenosis;
Conventional aortic valve replacement;
Percutaneous transcatheter aortic valve implantation
- MeSH:
Aged;
Anesthesia;
Aortic Valve;
Aortic Valve Stenosis;
Comorbidity;
Europe;
Hemodynamics;
Humans;
Korea;
North America;
Renal Insufficiency
- From:Korean Journal of Anesthesiology
2011;60(2):128-133
- CountryRepublic of Korea
- Language:English
-
Abstract:
Conventional aortic valve replacement for severe aortic stenosis is associated with a high operative mortality in the elderly patients with significant comorbidities, including severe respiratory dysfunction, renal insufficiency, and compromised cardiac function. Human transcatheter aortic valve implantation was first reported in 2002 and has become a valid alternative in selected high-risk patients in Europe and North America. This article describes the first attempt of transfemoral transcatheter aortic valve implantation in Korea. The procedure was applied in two consecutive patients with severe aortic stenosis. Despite several intra-operative complications during procedure, the post-operative outcomes were good for both patients. At post-operative 30 days there was satisfactory prosthetic valve function and hemodynamic stability.
