Emergency transcatheter aortic valve implantation in patients with severe aortic regurgitation and a left ventricle assist device: A case report and systematic review

Hindrik W van der Werf; Remco Aj Schurer; Ton E Vonck; Janny E Poelman; Aafke A Klungel; Vladimir Cernak; Ad Fm van den Heuvel; Pim van der Harst

doi:10.1177/2048872616652310

Emergency transcatheter aortic valve implantation in patients with severe aortic regurgitation and a left ventricle assist device: A case report and systematic review

Hindrik W van der Werf, Remco Aj Schurer, Ton E Vonck, Janny E Poelman, Aafke A Klungel, Vladimir Cernak, Ad Fm van den Heuvel, Pim van der Harst

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

BACKGROUND: Cardiogenic shock due to severe aortic regurgitation in patients with left ventricle assist devices is a life threatening condition. Here, we consider transcatheter aortic valve implantation as a treatment option.

METHODS AND RESULTS: A patient with a left ventricle assist device was presented to us with cardiogenic shock due to severe aortic regurgitation. We successfully implanted a transcatheter aortic valve in emergency setting. The patient recovered and underwent cardiac transplantation three months afterwards. We performed a systematic literature review and identified 10 cases of patients with a left ventricle assist device undergoing transcatheter aortic valve implantation. In these cases, there was no procedural related mortality reported. In four (40%) patients, transcatheter aortic valve implantation resulted in significant paravalvular aortic regurgitation. In two of these cases it was due to migration of the valve towards the left ventricle.

CONCLUSIONS: Our case report and review of literature suggests that transcatheter aortic valve implantation is a feasible and lifesaving treatment option for left ventricle assist device patients presenting with severe aortic regurgitation.

Original language	English
Pages (from-to)	719-727
Number of pages	9
Journal	European heart journal. Acute cardiovascular care
Volume	6
Issue number	8
DOIs	https://doi.org/10.1177/2048872616652310
Publication status	Published - 1 Dec 2017
Externally published	Yes

Keywords

Adult
Aortic Valve Insufficiency/diagnosis
Aortic Valve/diagnostic imaging
Cardiomyopathy, Dilated/diagnosis
Echocardiography
Emergencies
Heart Valve Prosthesis
Heart-Assist Devices/adverse effects
Humans
Male
Transcatheter Aortic Valve Replacement/methods

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10.1177/2048872616652310

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van der Werf, H. W., Schurer, R. A., Vonck, T. E., Poelman, J. E., Klungel, A. A., Cernak, V., van den Heuvel, A. F., & van der Harst, P. (2017). Emergency transcatheter aortic valve implantation in patients with severe aortic regurgitation and a left ventricle assist device: A case report and systematic review. European heart journal. Acute cardiovascular care, 6(8), 719-727. https://doi.org/10.1177/2048872616652310

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title = "Emergency transcatheter aortic valve implantation in patients with severe aortic regurgitation and a left ventricle assist device: A case report and systematic review",

abstract = "BACKGROUND: Cardiogenic shock due to severe aortic regurgitation in patients with left ventricle assist devices is a life threatening condition. Here, we consider transcatheter aortic valve implantation as a treatment option.METHODS AND RESULTS: A patient with a left ventricle assist device was presented to us with cardiogenic shock due to severe aortic regurgitation. We successfully implanted a transcatheter aortic valve in emergency setting. The patient recovered and underwent cardiac transplantation three months afterwards. We performed a systematic literature review and identified 10 cases of patients with a left ventricle assist device undergoing transcatheter aortic valve implantation. In these cases, there was no procedural related mortality reported. In four (40%) patients, transcatheter aortic valve implantation resulted in significant paravalvular aortic regurgitation. In two of these cases it was due to migration of the valve towards the left ventricle.CONCLUSIONS: Our case report and review of literature suggests that transcatheter aortic valve implantation is a feasible and lifesaving treatment option for left ventricle assist device patients presenting with severe aortic regurgitation.",

keywords = "Adult, Aortic Valve Insufficiency/diagnosis, Aortic Valve/diagnostic imaging, Cardiomyopathy, Dilated/diagnosis, Echocardiography, Emergencies, Heart Valve Prosthesis, Heart-Assist Devices/adverse effects, Humans, Male, Transcatheter Aortic Valve Replacement/methods",

author = "{van der Werf}, {Hindrik W} and Schurer, {Remco Aj} and Vonck, {Ton E} and Poelman, {Janny E} and Klungel, {Aafke A} and Vladimir Cernak and {van den Heuvel}, {Ad Fm} and {van der Harst}, Pim",

note = "Publisher Copyright: {\textcopyright} 2016, {\textcopyright} The European Society of Cardiology 2016.",

year = "2017",

month = dec,

day = "1",

doi = "10.1177/2048872616652310",

language = "English",

volume = "6",

pages = "719--727",

journal = "European heart journal. Acute cardiovascular care",

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van der Werf, HW, Schurer, RA, Vonck, TE, Poelman, JE, Klungel, AA, Cernak, V, van den Heuvel, AF & van der Harst, P 2017, 'Emergency transcatheter aortic valve implantation in patients with severe aortic regurgitation and a left ventricle assist device: A case report and systematic review', European heart journal. Acute cardiovascular care, vol. 6, no. 8, pp. 719-727. https://doi.org/10.1177/2048872616652310

Emergency transcatheter aortic valve implantation in patients with severe aortic regurgitation and a left ventricle assist device: A case report and systematic review. / van der Werf, Hindrik W; Schurer, Remco Aj; Vonck, Ton E et al.
In: European heart journal. Acute cardiovascular care, Vol. 6, No. 8, 01.12.2017, p. 719-727.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Emergency transcatheter aortic valve implantation in patients with severe aortic regurgitation and a left ventricle assist device

T2 - A case report and systematic review

AU - van der Werf, Hindrik W

AU - Schurer, Remco Aj

AU - Vonck, Ton E

AU - Poelman, Janny E

AU - Klungel, Aafke A

AU - Cernak, Vladimir

AU - van den Heuvel, Ad Fm

AU - van der Harst, Pim

PY - 2017/12/1

Y1 - 2017/12/1

N2 - BACKGROUND: Cardiogenic shock due to severe aortic regurgitation in patients with left ventricle assist devices is a life threatening condition. Here, we consider transcatheter aortic valve implantation as a treatment option.METHODS AND RESULTS: A patient with a left ventricle assist device was presented to us with cardiogenic shock due to severe aortic regurgitation. We successfully implanted a transcatheter aortic valve in emergency setting. The patient recovered and underwent cardiac transplantation three months afterwards. We performed a systematic literature review and identified 10 cases of patients with a left ventricle assist device undergoing transcatheter aortic valve implantation. In these cases, there was no procedural related mortality reported. In four (40%) patients, transcatheter aortic valve implantation resulted in significant paravalvular aortic regurgitation. In two of these cases it was due to migration of the valve towards the left ventricle.CONCLUSIONS: Our case report and review of literature suggests that transcatheter aortic valve implantation is a feasible and lifesaving treatment option for left ventricle assist device patients presenting with severe aortic regurgitation.

AB - BACKGROUND: Cardiogenic shock due to severe aortic regurgitation in patients with left ventricle assist devices is a life threatening condition. Here, we consider transcatheter aortic valve implantation as a treatment option.METHODS AND RESULTS: A patient with a left ventricle assist device was presented to us with cardiogenic shock due to severe aortic regurgitation. We successfully implanted a transcatheter aortic valve in emergency setting. The patient recovered and underwent cardiac transplantation three months afterwards. We performed a systematic literature review and identified 10 cases of patients with a left ventricle assist device undergoing transcatheter aortic valve implantation. In these cases, there was no procedural related mortality reported. In four (40%) patients, transcatheter aortic valve implantation resulted in significant paravalvular aortic regurgitation. In two of these cases it was due to migration of the valve towards the left ventricle.CONCLUSIONS: Our case report and review of literature suggests that transcatheter aortic valve implantation is a feasible and lifesaving treatment option for left ventricle assist device patients presenting with severe aortic regurgitation.

KW - Adult

KW - Aortic Valve Insufficiency/diagnosis

KW - Aortic Valve/diagnostic imaging

KW - Cardiomyopathy, Dilated/diagnosis

KW - Echocardiography

KW - Emergencies

KW - Heart Valve Prosthesis

KW - Heart-Assist Devices/adverse effects

KW - Humans

KW - Male

KW - Transcatheter Aortic Valve Replacement/methods

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U2 - 10.1177/2048872616652310

DO - 10.1177/2048872616652310

M3 - Article

C2 - 27245700

SN - 2048-8726

VL - 6

SP - 719

EP - 727

JO - European heart journal. Acute cardiovascular care

JF - European heart journal. Acute cardiovascular care

IS - 8

ER -

Emergency transcatheter aortic valve implantation in patients with severe aortic regurgitation and a left ventricle assist device: A case report and systematic review

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