Bail-out transcatheter aortic valve implantation to reduce severe acute aortic regurgitation in a failing homograft secondary to HeartMate II ventricular assistance device.
Left ventricular assistance with surgically implanted pump devices like the HeartMate may be crucial in selected patient with end-stage heart failure. However, mainly due to its high aortic output, the pump itself may induce severe aortic regurgitation that could result in paradoxycal worsening of the anterograde perfusion after the initiation of the support. Surgical or percutaneous occlusion of the aortic valve has proved useful in these kinds of patients. Here we present a successful case of bail-out CoreValve implantation after HeartMate II positioning complicated by acute severe aortic regurgitation in a patient with a failing homograft and end-stage ventricular dysfunction, ineligible for heart transplanation.
Department of Medicine, the University of Verona, Verona, Italy.
Flavio
F
Ribichini
Department of Surgery, the University of Verona, Verona, Italy.
Giuseppe
G
Faggian
Department of Medicine, the University of Verona, Verona, Italy.
Gabriele
G
Pesarini
Department of Surgery, the University of Verona, Verona, Italy.
Aldo
A
Milano
Department of Surgery, the University of Verona, Verona, Italy.
Leonardo
L
Gottin
Department of Medicine, the University of Verona, Verona, Italy.
Corrado
C
Vassanelli
D064591:Allografts / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000628:therapy*; D006328:Cardiac Catheterization / Q000379:methods; D006333:Heart Failure / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation* / Q000379:methods; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D008875:Middle Aged; D065467:Transcatheter Aortic Valve Replacement / Q000295:instrumentation*; D016896:Treatment Outcome; D016277:Ventricular Function, Left
Aortic regurgitation; Heart Mate; TAVI; Ventricular Assist Devices