Document Detail


Unexpected left ventricular free-wall rupture following an aortic catheter-valve implantation.
MedLine Citation:
PMID:  19695895     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Our experience with the Sapien trans-apical aortic valve (Edwards Lifesciences Inc., Irvine, CA, USA) has been straightforward without per-procedural mortality except in 1/16 consecutive cases who developed non-apical haemorrhage early after valve implantation. We describe the case of an 84-year-old female carrying a very high operative risk (logistic EuroScore of 44%), who underwent a trans-apical stent-valve implantation for severe and symptomatic aortic valve stenosis (23 mm). Due to massive blood loss, an emergency sternotomy and cannulation for cardiopulmonary bypass resuscitation were necessary to treat (without success) an unusual and unexpected subaortic left ventricular free-wall rupture that occurred few minutes after the stent-valve positioning and implantation. To the best of our knowledge, this is the first described case of a left ventricular free-wall rupture occurring after an otherwise non-complicated standard catheter-based aortic valve replacement.
Authors:
Enrico Ferrari; Elena Rizzo; Christopher Sulzer; Ludwig Karl von Segesser
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-08-19
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  37     ISSN:  1873-734X     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-02-03     Completed Date:  2011-01-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  242-4     Citation Subset:  IM    
Copyright Information:
Copyright 2009 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.
Affiliation:
Department of Cardio-Vascular Surgery, University Hospital of Lausanne (CHUV), Lausanne, Switzerland. enricoferrari@bluewin.ch
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MeSH Terms
Descriptor/Qualifier:
Aged, 80 and over
Aortic Valve Stenosis / surgery*
Blood Loss, Surgical
Female
Heart Rupture / etiology*
Heart Valve Prosthesis Implantation / adverse effects*,  methods
Humans

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