title: Mechanical circulatory support in patients with severe aortic stenosis and left ventricular dysfunction undergoing percutaneous coronary intervention.
abstract: Management of obstructive coronary artery disease in patients with aortic stenosis and severe left ventricular dysfunction is challenging. Mechanical circulatory support at the time of percutaneous coronary interventions may be necessary in these extreme-risk patients. We present a case in which the TandemHeart was used to support a patient with severe aortic stenosis, severe protected left main and circumflex disease, and severe cardiomyopathy and review the literature on this subject.
authors.affiliation: WVU Heart and Vascular Institute, West Virginia University School of Medicine, Morgantown, West Virginia.|Department of Cardiovascular Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota.
authors.forename: Mohamad
authors.initials: M
authors.lastname: Alkhouli
authors.forename: Ahmed
authors.initials: A
authors.lastname: Al Mustafa
authors.forename: Zakeih
authors.initials: Z
authors.lastname: Chaker
authors.affiliation: WVU Heart and Vascular Institute, West Virginia University School of Medicine, Morgantown, West Virginia.
authors.forename: Fahad
authors.initials: F
authors.lastname: Alqahtani
authors.affiliation: WVU Heart and Vascular Institute, West Virginia University School of Medicine, Morgantown, West Virginia.
authors.forename: Sami
authors.initials: S
authors.lastname: Aljohani
authors.affiliation: Department of Cardiovascular Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota.
authors.forename: David R
authors.initials: DR
authors.lastname: Holmes
mesh_terms: D000368:Aged; D001024:Aortic Valve Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001243:Assisted Circulation / Q000295:instrumentation* / Q000379:methods; D017023:Coronary Angiography; D006353:Heart-Assist Devices; D006801:Humans; D007430:Intraoperative Care / Q000379:methods*; D008297:Male; D062645:Percutaneous Coronary Intervention; D012720:Severity of Illness Index; D018487:Ventricular Dysfunction, Left / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*
keywords: aortic stenosis; coronary artery disease; left ventricular dysfunction; mechanical circulatory support