title: Successful emergency aortic valve replacement following percutaneous cardiopulmonary support for the patient with aortic stenosis and cardiac arrest.
abstract: We present a 57-year-old woman with severe aortic stenosis. She was diagnosed with acute myocardial infarction by electrocardiography and the detection of elevated creatine phosphokinase in another hospital. Soon after transfer to our hospital, this patient developed cardiac arrest. Percutaneous cardiopulmonary support (PCPS) was established, and subsequently performed coronary angiography revealed normal coronary arteries. However echocardiography revealed severe aortic stenosis. Emergency aortic valve replacement (AVR) was performed, and the patient was discharged from hospital 30 days after surgery in good health. Prompt establishment of PCPS maintained her systemic circulation, and allowed us to conduct investigations for diagnosis. In patients with critical aortic stenosis, emergency AVR should be performed as early as possible following diagnosis.
authors.affiliation: Department of Cardiovascular Surgery, Brain and Heart Center at Himeji, Hyogo, Japan.
authors.forename: Hironori
authors.initials: H
authors.lastname: Matsuhisa
authors.forename: Nobuhiko
authors.initials: N
authors.lastname: Mukouhara
authors.forename: Hidefumi
authors.initials: H
authors.lastname: Obo
authors.forename: Keitaro
authors.initials: K
authors.lastname: Nakagiri
authors.forename: Shuichi
authors.initials: S
authors.lastname: Kozawa
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Shida
mesh_terms: D001024:Aortic Valve Stenosis / Q000150:complications / Q000628:therapy*; D016887:Cardiopulmonary Resuscitation; D004562:Electrocardiography; D004638:Emergency Treatment; D005260:Female; D006323:Heart Arrest / Q000209:etiology / Q000628:therapy*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology / Q000628:therapy