title: Unexpected and fatal hemodynamic collapse during transapical transcatheter aortic valve implantation -A case report-.
abstract: Although transcatheter aortic valve implantation (TAVI) is generally accepted as an alternative or promising treatment option for patients with decompensated cardiovascular disease in an inoperable or high-risk condition, severe hypotension and/or arrhythmia associated with rapid ventricular pacing still poses a challenge to many clinicians. This report describes a 79-year-old patient who experienced fatal hemodynamic collapse, which suddenly developed after a rapid ventricular pacing in spite of pre-administration of vasopressor. The procedure and anesthesia were uneventful until the first rapid ventricular pacing was applied. Following rapid ventricular pacing, his cardiovascular state was severely compromised and could not be recovered. Despite early initiation of extracorporeal membrane oxygenation device and supportive care, he died from heart failure on post-procedure day four.
authors: Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors: Eun Hee
authors: EH
authors: Kim
authors: Sangmin Maria
authors: SM
authors: Lee
authors: Jong-Hwan
authors: JH
authors: Lee
authors: Sang Hyun
authors: SH
authors: Lee
authors: Pyo Won
authors: PW
authors: Park
authors: Hyeon-Cheol
authors: HC
authors: Gwon
keywords: Heart failure; Hemodynamic collapse; Rapid ventricular pacing; Transcatheter aortic valve implantation
references: N Engl J Med. 2010 Oct 21;363(17):1597-607
references: 20961243
references: JACC Cardiovasc Interv. 2010 Nov;3(11):1110-21
references: 21087745
references: J Am Coll Cardiol. 2010 Mar 16;55(11):1080-90
references: 20096533
references: Curr Opin Anaesthesiol. 2011 Aug;24(4):417-25
references: 21602673
references: Catheter Cardiovasc Interv. 2011 Oct 1;78(4):656-9
references: 21656648
references: J Cardiothorac Vasc Anesth. 2010 Feb;24(1):25-9
references: 19944626
references: Am Heart J. 2010 Dec;160(6):1113-20
references: 21146666
references: Circulation. 2011 Jan 25;123(3):299-308
references: 21220731
references: Crit Care. 2010;14(5):R169
references: 20858239
references: Circulation. 2002 Dec 10;106(24):3006-8
references: 12473543
references: Anesth Analg. 2009 May;108(5):1453-62
references: 19372319
references: Am J Cardiol. 2010 Dec 15;106(12):1777-81
references: 21055715
references: Am Heart J. 2010 Sep;160(3):451-7
references: 20826252
references: Anesth Analg. 2003 Jun;96(6):1603-1616
references: 12760982
references: J Am Coll Cardiol. 2011 May 17;57(20):1988-99
references: 21565636