Left Atrial Venoarterial Extracorporeal Membrane Oxygenation for Acute Aortic Regurgitation and Cardiogenic Shock
Michael Chiang, Pedro Engel Gonzalez, Barbar Basir, Brian O’Neill, James Lee, Tiberio Frisoli, Dee Dee Wang, William W. O’Neill, Pedro Villablanca
Abstract
A 51-year-old man with past medical history of bioprosthetic aortic valve replacement presented in cardiogenic shock secondary to acute bioprosthesis degeneration with severe aortic regurgitation. Venoarterial extracorporeal membrane oxygenation is contraindicated in patients with severe AI. Use of left atrial venoarterial extracorporeal membrane oxygenation resulted in hemodynamic improvement, allowing patient stabilization for emergency valve-in-valve transcatheter aortic valve replacement. (Level of Difficulty: Advanced.)
Topics & Concepts
Cardiogenic shockExtracorporeal membrane oxygenationMedicineCardiologyRegurgitation (circulation)Internal medicineShock (circulatory)Aortic valve replacementMyocardial infarctionStenosisMechanical Circulatory Support DevicesCardiac Structural Anomalies and RepairCardiac Valve Diseases and Treatments