Document Detail

Unexpected and fatal hemodynamic collapse during transapical transcatheter aortic valve implantation -A case report-.
MedLine Citation:
PMID:  23646247     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Although transcatheter aortic valve implantation (TAVI) is generally accepted as an alternative or promising treatment option for patients with decompensated cardiovascular disease in an inoperable or high-risk condition, severe hypotension and/or arrhythmia associated with rapid ventricular pacing still poses a challenge to many clinicians. This report describes a 79-year-old patient who experienced fatal hemodynamic collapse, which suddenly developed after a rapid ventricular pacing in spite of pre-administration of vasopressor. The procedure and anesthesia were uneventful until the first rapid ventricular pacing was applied. Following rapid ventricular pacing, his cardiovascular state was severely compromised and could not be recovered. Despite early initiation of extracorporeal membrane oxygenation device and supportive care, he died from heart failure on post-procedure day four.
Eun Hee Kim; Sangmin Maria Lee; Jong-Hwan Lee; Sang Hyun Lee; Pyo Won Park; Hyeon-Cheol Gwon
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Publication Detail:
Type:  Journal Article     Date:  2013-04-22
Journal Detail:
Title:  Korean journal of anesthesiology     Volume:  64     ISSN:  2005-6419     ISO Abbreviation:  Korean J Anesthesiol     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-05-06     Completed Date:  2013-05-07     Revised Date:  2013-05-08    
Medline Journal Info:
Nlm Unique ID:  101502451     Medline TA:  Korean J Anesthesiol     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  360-2     Citation Subset:  -    
Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
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