Successful emergency aortic valve replacement following percutaneous cardiopulmonary support for the patient with aortic stenosis and cardiac arrest.
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.
Matsuhisa
Hironori
H
Department of Cardiovascular Surgery, Brain and Heart Center at Himeji, Hyogo, Japan.
Mukouhara
Nobuhiko
N
Obo
Hidefumi
H
Nakagiri
Keitaro
K
Kozawa
Shuichi
S
Shida
Tsutomu
T
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