eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
Current issue Archive Manuscripts accepted About the journal Editorial board Abstracting and indexing Subscription Contact Instructions for authors Publication charge Ethical standards and procedures
Editorial System
Submit your Manuscript
SCImago Journal & Country Rank
Search
Editorial Policies
Sarajevo Declaration on Integrity and Visibility of Scholarly Publications
4/2012
vol. 8
 
Share:
Send email
Share:
abstract:

Case report
CoreValve transcatheter aortic valve implantation complicated by stress cardiomyopathy (tako-tsubo) and septic shock

Dorota Kustrzycka-Kratochwil
,
Agata Makowska
,
Piotr Kübler
,
Artur Telichowski
,
Waldemar Banasiak
,
Ewa Jankowska
,
Piotr Ponikowski
,
Krzysztof Reczuch

Postep Kard Inter 2012; 8, 4 (30): 335–337
DOI: https://doi.org/10.5114/pwki.2012.31915
Online publish date: 2012/11/26
View full text Get citation
 
Transcatheter aortic valve implantation (TAVI) has become a promising alternative for surgical therapy of patients with severe aortic stenosis. Transcatheter aortic valve implantation procedures are currently limited to patients who have been disqualified from surgery because of high operative risk, but they are associated with specific complications. We report a case of an 82-year-old woman undergoing TAVI. The patient was not considered as a good candidate for surgery due to elevated risk (logistic EuroSCORE 24%). The procedure alone was uncomplicated, performed through the transfemoral access with a 29 mm CoreValve bioprosthesis. Unfortunately, 20 days after the procedure the patient’s condition suddenly deteriorated, with symptoms of acute heart failure and chest pain, followed by shock and with accompanying sepsis. Based on clinical findings, inverted T waves in ECG precordial leads, elevated levels of troponin, echocardiography with new regional wall motion abnormalities and angiography (normal coronary arteries) the diagnosis of stress cardiomyopathy (tako-tsubo like cardiomyopathy) was made. After intensive pharmacological treatment with haemodynamic monitoring the patient’s condition gradually improved. Echocardiography revealed gradual regression of regional wall motion abnormalities and improvement of left ventricular function. The case indicates the possibility of less typical complications of TAVI, like tako-tsubo syndrome, and should be considered in differential diagnosis of chest pain in patients undergoing this procedure.
keywords:

transcatheter aortic valve implantation, tako-tsubo
Termedia
About us Contact
Copyright notice Privacy policy Advertising policy Contact us
Quick links
Journals Books eBooks Events
© 2024 Termedia Sp. z o.o.
Developed by Bentus.