Transcatheter aortic valve replacement in a patient with an anomalous origin of the right coronary artery

2011 ◽  
Vol 78 (7) ◽  
pp. 1013-1016 ◽  
Author(s):  
Hellmuth Weich ◽  
Christelle Ackermann ◽  
Hofmeyr Viljoen ◽  
Jacques van Wyk ◽  
Thomas Mabin ◽  
...  
2011 ◽  
Vol 40 (1) ◽  
pp. 10-13 ◽  
Author(s):  
Nozomi Kojima ◽  
Satoshi Ito ◽  
Arata Muraoka ◽  
Hiroaki Konishi ◽  
Yoshio Misawa

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Majid Ahsan ◽  
Rolf Alexander Jánosi ◽  
Tienush Rassaf ◽  
Alexander Lind

Abstract Background Patients with severe aortic stenosis (AS) often present with multiple comorbidities and suffer from critical coronary artery disease (CAD). Transcatheter aortic valve replacement (TAVR) has become the therapy of choice for moderate to high-risk patients. Venoarterial extracorporeal membrane oxygenation (v-a-ECMO) offers the possibility of temporary cardiac support to manage life-threatening critical situations. Case summary Here, we describe the management of a patient with severe AS and CAD with impaired left ventricular ejection fraction (LVEF). We used v-a-ECMO as an emergency strategy in cardiogenic shock during a high-risk coronary intervention to stabilize the patient, and as a further bridge to TAVR. Discussion Very high-risk patients with severe AS are unlikely to tolerate the added risk of surgical aortic valve replacement. Using ECMO may help them to benefit from TAVR as the only treatment option available.


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