title: Transcatheter aortic valve implantation in a patient with circulatory collapse, using the LUCAS® chest compression system.
abstract: We describe a case of transcatheter aortic valve implantation (TAVI) using the LUCAS® Chest Compression System in an elderly high risk patient with severe aortic stenosis and heart failure. In this case, the patient developed severe aortic regurgitation following predilatation of the native aortic valve and automated cardiopulmonary resuscitation (A-CPR) was initiated. The procedure was performed under ongoing A-CPR for a total of 28 min. The patient was transferred to the intensive care unit and to a step down unit the following day. At follow-up 30 days later, she showed no signs of neurologic or cardiac damage. This case report shows, that it is possible to perform the TAVI procedure under ongoing A-CPR and that A-CPR, judged by invasive blood pressures, was capable of maintaining a satisfactory perfusion pressure even with a damaged aortic valve.
authors: Department of Cardiothoracic Anaesthesiology and Intensive care, Odense University Hospital, Denmark. Peter.Blom.Jensen@ouh.regionsyddanmark.dk
authors: Peter Blom
authors: PB
authors: Jensen
authors: Claus
authors: C
authors: Andersen
authors: Henrik
authors: H
authors: Nissen
mesh_terms: D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D063126:Balloon Valvuloplasty / Q000009:adverse effects*; D006328:Cardiac Catheterization; D016887:Cardiopulmonary Resuscitation / Q000295:instrumentation*; D004867:Equipment Design; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006439:Hemodynamics; D006801:Humans; D012307:Risk Factors; D012769:Shock / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D016896:Treatment Outcome