TAVI in a patient with severe aortic stenosis and a basal septal bulge resulted in multifactorial hemodynamic collapse that was successfully managed with ECMO and a second valve implantation.
Case Report (n=1)
This case report highlights the procedural challenges and risk of life-threatening hemodynamic collapse during TAVI in patients with complex anatomy including basal septal bulge and heavy LVOT calcification.
Objective: This study aimed to describe a life-threatening complication during transcatheter aortic valve implantation (TAVI) in a patient with severe aortic stenosis (AS) and a basal septal bulge and to highlight the procedural challenges associated with this anatomy.
Yoshida et al. (Thu,) conducted a case report in Severe aortic stenosis (n=1). Transcatheter aortic valve implantation (TAVI) was evaluated. TAVI in a patient with severe aortic stenosis and a basal septal bulge resulted in multifactorial hemodynamic collapse that was successfully managed with ECMO and a second valve implantation.