Key result
Concurrent PCI and TAVR under prophylactic extracorporeal circulation successfully treats cardiogenic shock in one patient.
Why the study?
Cardiogenic shock secondary to concomitant severe aortic stenosis and coronary artery disease is a critical clinical condition requiring comprehensive management.
Case Report (n=1)
No
Emergency PCI with concurrent TAVR under prophylactic extracorporeal circulation is a viable lifesaving strategy for patients presenting with cardiogenic shock due to severe CAD and AS.
Caution advised before adopting concurrent PCI-TAVR with extracorporeal support in cardiogenic shock; leaves open feasibility for prospective evaluation.
BACKGROUND: Cardiogenic shock secondary to concomitant severe aortic stenosis (AS) and coronary artery disease (CAD) is a critical clinical condition requiring comprehensive management. CASE SUMMARY: A 75-year-old man presented with cardiogenic shock resulting from severe AS and CAD. Emergency surgery was performed. It involved initiation of extracorporeal circulatory support, followed by percutaneous coronary intervention (PCI) and, subsequently, transcatheter aortic valve replacement (TAVR) using a TaurusElite valve (Peijia Medical). This strategy resulted in marked hemodynamic improvement. DISCUSSION: This case highlights the efficacy and safety of concurrent PCI and TAVR as a lifesaving strategy for cardiogenic shock patients with concomitant severe CAD and AS. TAKE-HOME MESSAGES: Emergency PCI with concurrent TAVR represents a viable lifesaving strategy for cardiogenic shock patients with coexisting severe CAD and AS. Prophylactic extracorporeal circulation initiation is critical in TAVR procedures for patients with cardiogenic shock to prevent circulatory collapse and maintain systemic perfusion.
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Tan et al. (2025) conducted a case report in Cardiogenic shock secondary to severe aortic stenosis and coronary artery disease (n=1). Concurrent percutaneous coronary intervention and transcatheter aortic valve replacement with extracorporeal circulation was evaluated on Hemodynamic improvement and survival. Concurrent percutaneous coronary intervention and transcatheter aortic valve replacement with prophylactic extracorporeal circulation successfully treated a patient with cardiogenic shock.
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