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You are here: Contents > 2017 > Volume 26 Number 5 September 2017 > CASE REPORTS > Rescue TAVI for Aortic Regurgitation after Left Ventricular Assist Device Implantation Following Preoperative Impella® Support

Rescue TAVI for Aortic Regurgitation after Left Ventricular Assist Device Implantation Following Preoperative Impella® Support

Florian E. M. Herrmann1,4, Petra Wellmann1, Vera von Dossow2, Steffen Massberg3, Christian Hagl1, René Schramm1, Maximilian Pichlmaier1

1Department of Cardiac Surgery, Ludwig Maximilian University, Munich, Germany
2Department of Anesthesiology, Ludwig Maximilian University, Munich, Germany
3Department of Cardiology, Ludwig Maximilian University, Munich, Germany
4Electronic correspondence: Florian.Herrmann@med.uni-muenchen.de

A patient presented with a decompensated cardiomyopathy requiring invasive hemodynamic support with an Impella® heart pump. Extracorporeal life support (ECLS) became necessary during the further course and the patient was bridged to left ventricular assist device (LVAD) implantation. Postoperatively, the patient did not improve as expected due to new aortic regurgitation (AR) that was most likely caused by the previously placed

 

Impella. A SAPIEN 3 transcatheter aortic valve was implanted as a bail-out strategy; an additional valve-in-valve rescue was required due to paravalvular regurgitation. This resulted in a restitution of valvular function and hemodynamic improvement. TAVI appears to be a valuable bail-out option for postoperative AR following LVAD implantation.

The Journal of Heart Valve Disease 2017;26:603-605


Rescue TAVI for Aortic Regurgitation after Left Ventricular Assist Device Implantation Following Preoperative Impella® Support

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