Emergency Transcatheter Aortic Valve Implantation for Decompensated Aortic Stenosis accompanied by Cardiogenic Shock

Q: What is the clinical evidence from this study?

Study design: Case Report. Population: Severe aortic stenosis with cardiogenic shock (n=1). Intervention: Emergency transcatheter aortic valve implantation (TAVI).

Q: What does this research mean for the field?

Emergency transcatheter aortic valve implantation can serve as an effective rescue therapy for patients presenting with cardiogenic shock secondary to acutely decompensated severe aortic stenosis. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

Ajmer Singh; Christy P. Kaliyadan; Praveen Chandra

doi:10.4103/aca.aca_2_26

October 1, 2026Annals of Cardiac AnaesthesiaOpen Access

Emergency Transcatheter Aortic Valve Implantation for Decompensated Aortic Stenosis accompanied by Cardiogenic Shock

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Key result

Emergency TAVI successfully rescues cardiogenic shock caused by decompensated aortic stenosis.

n=1

Why the study?

Patients with severe aortic stenosis presenting with cardiogenic shock require immediate intervention, but treatment options and outcomes for emergency TAVI in this setting are not well described.

Can emergency TAVI be successfully used as a rescue therapy in a patient with cardiogenic shock secondary to acutely decompensated severe aortic stenosis?

Key Points

To evaluate the feasibility and clinical utility of emergency transcatheter aortic valve implantation as a rescue intervention for acutely decompensated aortic stenosis complicated by cardiogenic shock.
Clinical case evaluation of an emergency transcatheter aortic valve implantation (TAVI) procedure.
Intervention delivered to an acutely decompensated patient presenting with severe valvular aortic stenosis and cardiogenic shock requiring immediate rescue therapy.
Emergency TAVI was successfully deployed to relieve critical left ventricular outflow tract obstruction under acute hemodynamic collapse.
The procedure achieved acute clinical stabilization and demonstrated procedural feasibility in a high-risk presentation where elective intervention was not viable.

Study Design

Type

Case Report (n=1)

Structured PICO

Can emergency TAVI be successfully used as a rescue therapy in a patient with cardiogenic shock secondary to acutely decompensated severe aortic stenosis?

P

Population

A single patient presenting with cardiogenic shock secondary to decompensated severe aortic stenosis.

I

Intervention

Emergency transcatheter aortic valve implantation (TAVI)

O

Outcome

Procedural success as a rescue therapy

Emergent TAVI can serve as a feasible and successful rescue intervention for patients presenting with cardiogenic shock due to decompensated severe aortic stenosis.

Implication

May support emergency TAVI feasibility in cardiogenic shock from decompensated AS; hypothesis-generating and should not change practice.

Abstract

Patients with severe aortic stenosis (AS) often present acutely with decompensated heart failure, cardiogenic shock or cardiac arrest requiring immediate intervention. Treatment options for these patients include palliative care, balloon aortic valvuloplasty (BAV), emergency transcatheter aortic valve implantation (TAVI), or surgical aortic valve replacement. TAVI procedure is performed electively in majority of the patients. However, it can be considered a rescue therapy in patients with cardiogenic shock secondary to acutely decompensated valvular AS. Here, we report the successful use of emergent TAVI for a patient presenting with cardiogenic shock secondary to decompensated AS.

Discussion

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Cite This Study

Singh et al. (2026) conducted a case report in Severe aortic stenosis with cardiogenic shock (n=1). Emergency transcatheter aortic valve implantation (TAVI) was evaluated. Emergency transcatheter aortic valve implantation (TAVI) was successfully used as a rescue therapy for a patient presenting with cardiogenic shock secondary to decompensated aortic stenosis.

synapsesocial.com/papers/6ace6e0db52af824ab02bc84 https://doi.org/10.4103/aca.aca_2_26

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Emergency Transcatheter Aortic Valve Implantation for Decompensated Aortic Stenosis accompanied by Cardiogenic Shock

Key Points

Study Design

Structured PICO

Implication

Abstract

Discussion

Cite This Study

Emergency Transcatheter Aortic Valve Implantation for Decompensated Aortic Stenosis accompanied by Cardiogenic Shock

Key Points

Study Design

Structured PICO

Implication

Abstract

Discussion

Cite This Study

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