title: Alcohol septal ablation as a bail-out procedure for suicide left ventricle after transcatheter aortic valve implantation.
abstract: With the advent of transcatheter aortic valve implantation (TAVI), many AS patients, formerly considered inoperable, can receive effective treatment. The relief of the left ventricular pressure overload could lead, in some cases, to the occurrence of dynamic intracavity pressure gradients (DIG) with deleterious clinical impact. This phenomenon resembles the physiology seen in hypertrophic obstructive cardiomyopathy. We report a case in which alcohol septal ablation was used as a bail-out therapy for the acutely developed intracavity obstruction after TAVI. Potential dynamic intracavity gradients should always be excluded in the acutely deteriorated patient postoperatively. Alcohol septal ablation can be considered as a salvage therapeutic tool when other therapies are ineffective to treat subvalvular obstruction.
authors: Gemeinschaftskrankenhaus Bonn – St Elisabeth, St Petrus, St Johannes,Herz – und Gefäßzentrum Rhein/Ahr, Bonn, Germany.
authors: Ulrich
authors: U
authors: Gerckens
authors: Luciano
authors: L
authors: Pizzulli
authors: Konstantinos
authors: K
authors: Raisakis
mesh_terms: D000369:Aged, 80 and over; D001020:Aortic Stenosis, Subvalvular / Q000628:therapy*; D001021:Aortic Valve; D006328:Cardiac Catheterization / Q000379:methods; D002312:Cardiomyopathy, Hypertrophic / Q000628:therapy*; D017115:Catheter Ablation / Q000379:methods*; D000431:Ethanol / Q000627:therapeutic use*; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D016879:Salvage Therapy / Q000379:methods; D016896:Treatment Outcome
chemical_list: D000431:Ethanol