Intraoperative ECMO assistance during TAVI for aortic insufficiency in an Asian patient with LVAD support

Hsiao‐Huang Chang, Po‐Lin Chen, Ying‐Hwa Chen, Hsin‐Bang Leu, Chia‐Cheng Kuo, Nai‐Yuan Wu
2021 ESC Heart Failure  
A 69-year-old male underwent concomitant left ventricular assist device (LVAD) implantation and aortic valve repair procedure for moderate aortic insufficiency (AI). Due to recurrence of symptomatic heart failure and post-repair AI deterioration from trivial to moderate-to-severe insufficiency 2 months later, transcatheter aortic valve implantation (TAVI) was arranged. During TAVI, intraoperative extracorporeal membrane oxygenation was used to maintain stable haemodynamics and to ensure a safe
more » ... nvironment for prosthesis deployment. Postoperative 5 month follow-up revealed no AI and no paravalvular leakage.
doi:10.1002/ehf2.13426 pmid:34085412 fatcat:v5hnnn5tvzbx5fp7gf2b22hhlu