TandemHeart-Assisted Balloon Aortic Valvuloplasty for Acute Transcatheter Aortic Valve Replacement Thrombosis

David Elison; James McCabe

doi:10.1016/j.jaccas.2020.01.017

TandemHeart-Assisted Balloon Aortic Valvuloplasty for Acute Transcatheter Aortic Valve Replacement Thrombosis

JACC Case Rep. 2020 Mar 18;2(3):437-439. doi: 10.1016/j.jaccas.2020.01.017. eCollection 2020 Mar.

Authors

David Elison¹, James McCabe¹

Affiliation

¹ Department of Cardiology, Division of Medicine, University of Washington Medical Center, Seattle, Washington.

Abstract

The patient in this report had a catastrophic case of transcatheter aortic valve replacement-related valve thrombosis manifesting within 1 month of valve implantation that was complicated by acute heart failure and cardiogenic shock. Anticoagulation and thrombolytic agents were not successful, and the patient was treated with TandemHeart (Cardiac Assist, Pittsburgh, Pennsylvania)-supported balloon aortic valvuloplasty and cerebral embolic protection. (Level of Difficulty: Advanced.).

Keywords: BAV, balloon aortic valvuloplasty; CEP, cerebral embolic protection; POD, post-operative day; SAVR, surgical aortic valve replacement; TAVR, transcatheter aortic valve replacement; TEE, transesophageal echocardiogram; TTE, transthoracic echocardiogram; cardiogenic shock; mechanical circulatory support (MCS); transcatheter aortic valve replacement (TAVR); transcatheter aortic valve replacement (TAVR) thrombosis.

Publication types

Case Reports