Impact of VA-ECMO on Dynamic LV Outflow Obstruction After Transcatheter Aortic Valve Replacement
Dynamic left ventricular outflow obstruction is a rare but severe complication of transcatheter aortic valve replacement. It presents as a paradoxical hemodynamic collapse after relieving the left ventricular afterload. Considering its unique pathophysiology, this entity dictates counterintuitive tr...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | JACC: Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666084923005132 |
| _version_ | 1797390421357232128 |
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| author | Juan Torrado, MD, PhD Diego Barzallo, MD Juan A. Terré, MD César Joel Benites-Moya, MD Saúl Ríos, MD Mario García, MD Mei Chau, MD José M. Wiley, MD, MPH Azeem Latib, MD |
| author_facet | Juan Torrado, MD, PhD Diego Barzallo, MD Juan A. Terré, MD César Joel Benites-Moya, MD Saúl Ríos, MD Mario García, MD Mei Chau, MD José M. Wiley, MD, MPH Azeem Latib, MD |
| author_sort | Juan Torrado, MD, PhD |
| collection | DOAJ |
| description | Dynamic left ventricular outflow obstruction is a rare but severe complication of transcatheter aortic valve replacement. It presents as a paradoxical hemodynamic collapse after relieving the left ventricular afterload. Considering its unique pathophysiology, this entity dictates counterintuitive treatments. We describe a case of left ventricular outflow obstruction treated with venoarterial extracorporeal membrane oxygenation and discuss its management principles. (Level of Difficulty: Intermediate.) |
| first_indexed | 2024-03-08T23:10:24Z |
| format | Article |
| id | doaj.art-704f6fa29c18434f8cf3558762e4dd14 |
| institution | Directory Open Access Journal |
| issn | 2666-0849 |
| language | English |
| last_indexed | 2024-03-08T23:10:24Z |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JACC: Case Reports |
| spelling | doaj.art-704f6fa29c18434f8cf3558762e4dd142023-12-15T07:25:57ZengElsevierJACC: Case Reports2666-08492024-01-01292102157Impact of VA-ECMO on Dynamic LV Outflow Obstruction After Transcatheter Aortic Valve ReplacementJuan Torrado, MD, PhD0Diego Barzallo, MD1Juan A. Terré, MD2César Joel Benites-Moya, MD3Saúl Ríos, MD4Mario García, MD5Mei Chau, MD6José M. Wiley, MD, MPH7Azeem Latib, MD8Department of Internal Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA; Department of Cardiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA; Address for correspondence: Dr Juan Torrado, Department of Cardiology, Montefiore Medical Center, Albert Einstein College of Medicine, 1825 Eastchester Road, Bronx, New York 10461, USA.Department of Internal Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, New York, USADepartment of Medicine, Section of Cardiology, Tulane University, New Orleans, Louisiana, USADepartment of Internal Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, New York, USADepartment of Cardiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USADepartment of Cardiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USADepartment of Cardiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USADepartment of Medicine, Section of Cardiology, Tulane University, New Orleans, Louisiana, USADepartment of Cardiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USADynamic left ventricular outflow obstruction is a rare but severe complication of transcatheter aortic valve replacement. It presents as a paradoxical hemodynamic collapse after relieving the left ventricular afterload. Considering its unique pathophysiology, this entity dictates counterintuitive treatments. We describe a case of left ventricular outflow obstruction treated with venoarterial extracorporeal membrane oxygenation and discuss its management principles. (Level of Difficulty: Intermediate.)http://www.sciencedirect.com/science/article/pii/S2666084923005132dynamic left ventricular outflow obstructionintra-aortic balloon pumptranscatheter aortic valve replacementvenoarterial extracorporeal membrane oxygenation |
| spellingShingle | Juan Torrado, MD, PhD Diego Barzallo, MD Juan A. Terré, MD César Joel Benites-Moya, MD Saúl Ríos, MD Mario García, MD Mei Chau, MD José M. Wiley, MD, MPH Azeem Latib, MD Impact of VA-ECMO on Dynamic LV Outflow Obstruction After Transcatheter Aortic Valve Replacement JACC: Case Reports dynamic left ventricular outflow obstruction intra-aortic balloon pump transcatheter aortic valve replacement venoarterial extracorporeal membrane oxygenation |
| title | Impact of VA-ECMO on Dynamic LV Outflow Obstruction After Transcatheter Aortic Valve Replacement |
| title_full | Impact of VA-ECMO on Dynamic LV Outflow Obstruction After Transcatheter Aortic Valve Replacement |
| title_fullStr | Impact of VA-ECMO on Dynamic LV Outflow Obstruction After Transcatheter Aortic Valve Replacement |
| title_full_unstemmed | Impact of VA-ECMO on Dynamic LV Outflow Obstruction After Transcatheter Aortic Valve Replacement |
| title_short | Impact of VA-ECMO on Dynamic LV Outflow Obstruction After Transcatheter Aortic Valve Replacement |
| title_sort | impact of va ecmo on dynamic lv outflow obstruction after transcatheter aortic valve replacement |
| topic | dynamic left ventricular outflow obstruction intra-aortic balloon pump transcatheter aortic valve replacement venoarterial extracorporeal membrane oxygenation |
| url | http://www.sciencedirect.com/science/article/pii/S2666084923005132 |
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