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A Case of TAVR Complicated by Severe Functional Mitral Regurgitation.

Lepage-Mireault, Guillaume; Martucci, Giuseppe; Piazza, Nicolo; Overtchouk, Pavel; Buithieu, Jean; Mousavi, Negareh; De Varennes, Benoît; Lachapelle, Kevin; Spaziano, Marco.

Can J Cardiol ; 36(12): 1977.e13-1977.e15, 2020 12.

Article in English | MEDLINE | ID: mdl-32735847

ABSTRACT

Mitral regurgitation (MR) is a known complication of transcatheter aortic valve replacement (TAVR). We report a case of a 90-year-old man with severe symptomatic aortic stenosis who underwent elective TAVR. The procedure was complicated by severe functional MR from left ventricular stunning and dilatation caused by hypotension throughout the procedure. An Impella CP (Abiomed, Inc, Danvers, MA) was inserted to unload the left ventricle and decrease its size with subsequent improvement in MR severity, which was sustained after Impella CP removal. In conclusion, we present the first case of successful management of post-TAVR severe functional MR with an Impella CP.

Subject(s)

Aortic Valve Stenosis/surgery , Aortic Valve , Assisted Circulation , Heart Ventricles , Heart-Assist Devices , Mitral Valve Insufficiency , Postoperative Complications , Transcatheter Aortic Valve Replacement , Aged, 80 and over , Aortic Valve/diagnostic imaging , Aortic Valve/pathology , Aortic Valve/surgery , Assisted Circulation/instrumentation , Assisted Circulation/methods , Dilatation, Pathologic/diagnosis , Dilatation, Pathologic/etiology , Dilatation, Pathologic/therapy , Echocardiography, Transesophageal/methods , Heart Ventricles/pathology , Heart Ventricles/physiopathology , Humans , Male , Mitral Valve Insufficiency/diagnosis , Mitral Valve Insufficiency/etiology , Mitral Valve Insufficiency/physiopathology , Mitral Valve Insufficiency/therapy , Postoperative Complications/diagnosis , Postoperative Complications/etiology , Postoperative Complications/physiopathology , Postoperative Complications/therapy , Severity of Illness Index , Surgery, Computer-Assisted/methods , Transcatheter Aortic Valve Replacement/adverse effects , Transcatheter Aortic Valve Replacement/methods , Treatment Outcome

ABSTRACT

Subject(s)

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