Unexpected and fatal hemodynamic collapse during transapical transcatheter aortic valve implantation: A case report.
10.4097/kjae.2013.64.4.360
- Author:
Eun Hee KIM
1
;
Sangmin Maria LEE
;
Jong Hwan LEE
;
Sang Hyun LEE
;
Pyo Won PARK
;
Hyeon Cheol GWON
Author Information
1. Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. maria3run@gmail.com
- Publication Type:Case Report
- Keywords:
Heart failure;
Hemodynamic collapse;
Rapid ventricular pacing;
Transcatheter aortic valve implantation
- MeSH:
Anesthesia;
Aortic Valve;
Arrhythmias, Cardiac;
Cardiovascular Diseases;
Extracorporeal Membrane Oxygenation;
Heart Failure;
Hemodynamics;
Humans;
Hypotension
- From:Korean Journal of Anesthesiology
2013;64(4):360-362
- CountryRepublic of Korea
- Language:English
-
Abstract:
Although transcatheter aortic valve implantation (TAVI) is generally accepted as an alternative or promising treatment option for patients with decompensated cardiovascular disease in an inoperable or high-risk condition, severe hypotension and/or arrhythmia associated with rapid ventricular pacing still poses a challenge to many clinicians. This report describes a 79-year-old patient who experienced fatal hemodynamic collapse, which suddenly developed after a rapid ventricular pacing in spite of pre-administration of vasopressor. The procedure and anesthesia were uneventful until the first rapid ventricular pacing was applied. Following rapid ventricular pacing, his cardiovascular state was severely compromised and could not be recovered. Despite early initiation of extracorporeal membrane oxygenation device and supportive care, he died from heart failure on post-procedure day four.
