title: Transapical perfusion for peri-arrest salvage during transcutaneous aortic valve implantation.
abstract: An 80-year-old man developed severe haemodynamic instability during a transapical aortic valve implantation. He was not suitable for a conventional surgical approach due to comorbidities and patent aortocoronary bypass grafts also limited further stabilizing actions. As a bail-out procedure, we demonstrate the feasibility of transapical arterial cannulation by crossing a newly implanted TAVI valve in order to establish an emergency bypass circuit.
authors.affiliation: Department of Cardiothoracic Surgery, University Hospital Southampton, NHS Foundation Trust, Southampton, UK isartor@hotmail.com.
authors.forename: L
authors.initials: L
authors.lastname: Göbölös
authors.affiliation: Department of Cardiothoracic Surgery, University Hospital Southampton, NHS Foundation Trust, Southampton, UK.
authors.forename: G M
authors.initials: GM
authors.lastname: Tsang
authors.affiliation: Department of Cardiology, University Hospital Southampton, NHS Foundation Trust, Southampton, UK Faculty of Medicine, University of Southampton, Southampton, UK.
authors.forename: N
authors.initials: N
authors.lastname: Curzen
authors.affiliation: Department of Cardiology, University Hospital Southampton, NHS Foundation Trust, Southampton, UK.
authors.forename: A L
authors.initials: AL
authors.lastname: Calver
authors.affiliation: Department of Cardiothoracic Surgery, University Hospital Southampton, NHS Foundation Trust, Southampton, UK.
authors.forename: S K
authors.initials: SK
authors.lastname: Ohri
mesh_terms: D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000601:surgery*; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D006801:Humans; D008297:Male; D010477:Perfusion; D016879:Salvage Therapy; D065467:Transcatheter Aortic Valve Replacement / Q000009:adverse effects*; D016896:Treatment Outcome
keywords: ECMO; TAVI; bridge-to-recovery; haemodynamic instability; transapical perfusion