Transapical perfusion for peri-arrest salvage during transcutaneous aortic valve implantation

L Göbölös; G M Tsang; N Curzen; A L Calver; S K Ohri

doi:10.1177/0267659115570719

Transapical perfusion for peri-arrest salvage during transcutaneous aortic valve implantation

Perfusion. 2015 Nov;30(8):650-2. doi: 10.1177/0267659115570719. Epub 2015 Feb 25.

Authors

L Göbölös¹, G M Tsang², N Curzen³, A L Calver⁴, S K Ohri²

Affiliations

¹ Department of Cardiothoracic Surgery, University Hospital Southampton, NHS Foundation Trust, Southampton, UK isartor@hotmail.com.
² Department of Cardiothoracic Surgery, University Hospital Southampton, NHS Foundation Trust, Southampton, UK.
³ Department of Cardiology, University Hospital Southampton, NHS Foundation Trust, Southampton, UK Faculty of Medicine, University of Southampton, Southampton, UK.
⁴ Department of Cardiology, University Hospital Southampton, NHS Foundation Trust, Southampton, UK.

PMID: 25716977
DOI: 10.1177/0267659115570719

Abstract

An 80-year-old man developed severe haemodynamic instability during a transapical aortic valve implantation. He was not suitable for a conventional surgical approach due to comorbidities and patent aortocoronary bypass grafts also limited further stabilizing actions. As a bail-out procedure, we demonstrate the feasibility of transapical arterial cannulation by crossing a newly implanted TAVI valve in order to establish an emergency bypass circuit.

Keywords: ECMO; TAVI; bridge-to-recovery; haemodynamic instability; transapical perfusion.

Publication types

Case Reports

MeSH terms

Aged, 80 and over
Aortic Valve Stenosis / surgery*
Coronary Artery Bypass / adverse effects*
Humans
Male
Perfusion*
Salvage Therapy*
Transcatheter Aortic Valve Replacement / adverse effects*
Treatment Outcome