Transcatheter aortic valve implantation under lower activated clotting time in a patient with hemorrhagic gastric cancer: a case report
Abstract Background Perioperative management of transcatheter aortic valve implantation (TAVI) in patients with a high risk of bleeding requires careful consideration. Case presentation A 74-year-old man complained of chest pain and was admitted to our hospital. Close examination revealed severe aor...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-10-01
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| Series: | JA Clinical Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40981-022-00566-9 |
| _version_ | 1811226562328002560 |
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| author | Yuki Mitsuta Takafumi Oyoshi Takahiro Nonaka Naoyuki Hirata |
| author_facet | Yuki Mitsuta Takafumi Oyoshi Takahiro Nonaka Naoyuki Hirata |
| author_sort | Yuki Mitsuta |
| collection | DOAJ |
| description | Abstract Background Perioperative management of transcatheter aortic valve implantation (TAVI) in patients with a high risk of bleeding requires careful consideration. Case presentation A 74-year-old man complained of chest pain and was admitted to our hospital. Close examination revealed severe aortic stenosis (AS) and hemorrhagic gastric cancer. Hemorrhage from gastric cancer was controlled using endoscopic hemostasis. While both gastric cancer and AS required surgery, we decided to perform transfemoral transcatheter aortic valve implantation (TAVI) under monitored anesthesia. To reduce bleeding from gastric cancer, we carefully adjusted the heparin dose to maintain the activated clotting time (ACT) between 180 and 200 s. TAVI with a balloon-expandable valve was completed without thrombotic complications. Laparoscopic distal gastrectomy was performed on the 6th day after TAVI. Conclusions We report the successful management of TAVI in a patient with hemorrhagic gastric cancer. In TAVI for patients with hemorrhagic diseases, careful consideration of antithrombotic therapy is required. |
| first_indexed | 2024-04-12T09:27:17Z |
| format | Article |
| id | doaj.art-c0fbae4a92e8431f9d1cecccdd7e5e33 |
| institution | Directory Open Access Journal |
| issn | 2363-9024 |
| language | English |
| last_indexed | 2024-04-12T09:27:17Z |
| publishDate | 2022-10-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | JA Clinical Reports |
| spelling | doaj.art-c0fbae4a92e8431f9d1cecccdd7e5e332022-12-22T03:38:28ZengSpringerOpenJA Clinical Reports2363-90242022-10-01811410.1186/s40981-022-00566-9Transcatheter aortic valve implantation under lower activated clotting time in a patient with hemorrhagic gastric cancer: a case reportYuki Mitsuta0Takafumi Oyoshi1Takahiro Nonaka2Naoyuki Hirata3Department of Anesthesiology, Kumamoto University HospitalDepartment of Anesthesiology, Kumamoto University HospitalDepartment of Anesthesiology, Kumamoto City HospitalDepartment of Anesthesiology, Kumamoto University HospitalAbstract Background Perioperative management of transcatheter aortic valve implantation (TAVI) in patients with a high risk of bleeding requires careful consideration. Case presentation A 74-year-old man complained of chest pain and was admitted to our hospital. Close examination revealed severe aortic stenosis (AS) and hemorrhagic gastric cancer. Hemorrhage from gastric cancer was controlled using endoscopic hemostasis. While both gastric cancer and AS required surgery, we decided to perform transfemoral transcatheter aortic valve implantation (TAVI) under monitored anesthesia. To reduce bleeding from gastric cancer, we carefully adjusted the heparin dose to maintain the activated clotting time (ACT) between 180 and 200 s. TAVI with a balloon-expandable valve was completed without thrombotic complications. Laparoscopic distal gastrectomy was performed on the 6th day after TAVI. Conclusions We report the successful management of TAVI in a patient with hemorrhagic gastric cancer. In TAVI for patients with hemorrhagic diseases, careful consideration of antithrombotic therapy is required.https://doi.org/10.1186/s40981-022-00566-9Transcatheter aortic valve implantationAortic stenosisActivated clotting time |
| spellingShingle | Yuki Mitsuta Takafumi Oyoshi Takahiro Nonaka Naoyuki Hirata Transcatheter aortic valve implantation under lower activated clotting time in a patient with hemorrhagic gastric cancer: a case report JA Clinical Reports Transcatheter aortic valve implantation Aortic stenosis Activated clotting time |
| title | Transcatheter aortic valve implantation under lower activated clotting time in a patient with hemorrhagic gastric cancer: a case report |
| title_full | Transcatheter aortic valve implantation under lower activated clotting time in a patient with hemorrhagic gastric cancer: a case report |
| title_fullStr | Transcatheter aortic valve implantation under lower activated clotting time in a patient with hemorrhagic gastric cancer: a case report |
| title_full_unstemmed | Transcatheter aortic valve implantation under lower activated clotting time in a patient with hemorrhagic gastric cancer: a case report |
| title_short | Transcatheter aortic valve implantation under lower activated clotting time in a patient with hemorrhagic gastric cancer: a case report |
| title_sort | transcatheter aortic valve implantation under lower activated clotting time in a patient with hemorrhagic gastric cancer a case report |
| topic | Transcatheter aortic valve implantation Aortic stenosis Activated clotting time |
| url | https://doi.org/10.1186/s40981-022-00566-9 |
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