Rescue transcatheter aortic valve implantation and simultaneous percutaneous coronary intervention on cardiopulmonary bypass in a patient with an extreme risk profile.
We report on successful emergency transcatheter aortic valve implantation combined with percutaneous coronary revascularization in a polymorbid and preterminal patient in profound cardiogenic shock and with multiorgan failure. The risk scores were almost unbelievably high (Society of Thoracic Surgeons mortality score, 83.9%; Society of Thoracic Surgeons morbidity and mortality score, 96.8%; logistic EuroSCORE, 96.7%). Two and a half years after the procedure, the patient is doing very well.
Deutsches Herzzentrum Berlin, Berlin, Germany. pasic@dhzb.de
Miralem
M
Pasic
Stephan
S
Dreysse
Evgenij
E
Potapov
Axel
A
Unbehaun
Semih
S
Buz
Thorsten
T
Drews
Giuseppe
G
D'Ancona
Katrin
K
Schäfer
Marian
M
Kukucka
Alexander
A
Mladenow
Roland
R
Hetzer
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D006328:Cardiac Catheterization / Q000379:methods*; D003131:Combined Modality Therapy; D001026:Coronary Artery Bypass / Q000379:methods*; D004632:Emergency Medical Services / Q000379:methods; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D009102:Multiple Organ Failure / Q000150:complications / Q000601:surgery*; D012307:Risk Factors; D012770:Shock, Cardiogenic / Q000150:complications / Q000601:surgery*; D016896:Treatment Outcome