Key result
Percutaneous intervention successfully bridges acute aortic coarctation and cardiogenic shock to surgical repair.
Why the study?
Management strategies for critically ill patients with bicuspid aortic valve disease and associated aortopathies requiring urgent intervention are not well defined.
Case Report (n=1)
Percutaneous endovascular intervention can serve as an effective bridge to definitive surgical repair in critically ill patients presenting with cardiogenic shock due to aortic coarctation.
May support percutaneous intervention in select cardiogenic shock with coarctation; hypothesis-generating and requires prospective validation before practice change.
A 39-year-old man with a history of bicuspid aortic valve and limited medical follow up presented with cardiogenic shock. He was discovered to have aortic coarctation, for which he underwent percutaneous endovascular intervention to optimize hemodynamics and lower surgical risk prior to aortic valve and aortic arch replacement. This case highlights the role of a heart team approach when managing critically ill patients with bicuspid aortic valve disease and associated aortopathies.
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Wallace et al. (2024) conducted a case report in Aortic coarctation and cardiogenic shock with bicuspid aortic valve (n=1). Percutaneous endovascular intervention was evaluated on Optimization of hemodynamics and lowering surgical risk prior to aortic valve and aortic arch replacement. Percutaneous endovascular intervention successfully optimized hemodynamics and lowered surgical risk in a 39-year-old man presenting with cardiogenic shock and aortic coarctation.
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