Unexpected left ventricular free-wall rupture following an aortic catheter-valve implantation.

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Serval ID
serval:BIB_162A0FD1EF41
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Unexpected left ventricular free-wall rupture following an aortic catheter-valve implantation.
Journal
European Journal of Cardio-thoracic Surgery
Author(s)
Ferrari E., Rizzo E., Sulzer C., von Segesser L.K.
ISSN
1873-734X[electronic], 1010-7940[linking]
Publication state
Published
Issued date
2010
Volume
37
Number
1
Pages
242-244
Language
english
Abstract
Our experience with the Sapien trans-apical aortic valve (Edwards Lifesciences Inc., Irvine, CA, USA) has been straightforward without per-procedural mortality except in 1/16 consecutive cases who developed non-apical haemorrhage early after valve implantation. We describe the case of an 84-year-old female carrying a very high operative risk (logistic EuroScore of 44%), who underwent a trans-apical stent-valve implantation for severe and symptomatic aortic valve stenosis (23 mm). Due to massive blood loss, an emergency sternotomy and cannulation for cardiopulmonary bypass resuscitation were necessary to treat (without success) an unusual and unexpected subaortic left ventricular free-wall rupture that occurred few minutes after the stent-valve positioning and implantation. To the best of our knowledge, this is the first described case of a left ventricular free-wall rupture occurring after an otherwise non-complicated standard catheter-based aortic valve replacement.
Keywords
Left ventricular rupture, Trans-apical aortic valve implantation, High-risk patient, Aortic valve stenosis
Pubmed
Web of science
Open Access
Yes
Create date
25/08/2009 11:23
Last modification date
25/09/2019 6:08
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