Key result
Combined PCI and aortic valvuloplasty under mechanical support reverses cardiogenic shock in an 84-year-old woman.
Why the study?
Percutaneous aortic valvuloplasty is useful for critical aortic stenosis with cardiogenic shock, and early PCI benefits elderly patients with cardiogenic shock after acute myocardial infarction.
Population
Elderly patient with critical aortic stenosis and severe coronary stenosis presenting with cardiogenic shock
Comparison
Combined PCI and percutaneous aortic valvuloplasty under mechanical support
Design
Case report
Authors
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Combined PCI and PAV feasible in critical AS with LM stenosis; hypothesis-generating and should not yet change practice.
Case Report (n=1)
No
Combined percutaneous coronary intervention and percutaneous aortic valvuloplasty under mechanical support can be an effective rescue strategy for elderly patients with cardiogenic shock due to critical aortic stenosis and severe coronary artery disease.
Kato et al. (2006) conducted a case report in Cardiogenic shock, acute myocardial infarction, severe aortic stenosis (n=1). Combined percutaneous coronary intervention and percutaneous aortic valvuloplasty under mechanical support was evaluated on Reversal of cardiogenic shock and weaning from mechanical support. Combined percutaneous coronary intervention and aortic valvuloplasty under mechanical support successfully reversed cardiogenic shock and allowed weaning from support in an 84-year-old woman.
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