The short-term mortality of patients with severe aortic stenosis is high, which presents a great challenge to clinical treatment. With the development of transcatheter aortic valve replacement (TAVR), emergent TAVR brings hope for the treatment of these patients. We present here a case of emergent TAVR procedure. The patient was an elderly male who had previously undergone surgical mitral valve replacement. After fully assessing the risk/benefit of TAVR procedure, emergent TAVR was performed for the patient. The patient was in good condition at two-month follow-up. Emergent TAVR is a good option for critical high-risk patients with severe aortic stenosis.
Citation：
FANG Yi, WANG Bin, ZHENG Lingfei, LI Yang, LIANG Zhenyang, XU Kai, JING Quanmin, HAN Yaling. A case of emergent transcatheter aortic valve replacement. West China Medical Journal, 2020, 35(4): 425-429. doi: 10.7507/1002-0179.202002396
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Copyright © the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
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Popma JJ, Deeb GM, Yakubov SJ, et al. Transcatheter aortic-valve replacement with a self-expanding valve in low-risk patients. N Engl J Med, 2019, 380(18): 1706-1715.
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Mack MJ, Leon MB, Thourani VH, et al. Transcatheter aortic-valve replacement with a balloon-expandable valve in low-risk patients. N Engl J Med, 2019, 380(18): 1695-1705.
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Falk V, Baumgartner H, Bax JJ, et al. 2017 ESC/EACTS guidelines for the management of valvular heart disease. Eur J Cardiothorac Surg, 2017, 52(4): 616-664.
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Nishimura RA, Otto CM, Bonow RO, et al. 2014 AHA/ACC Guideline for the Management of Patients with Valvular Heart Disease: Executive Summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol, 2014, 63(22): 2438-2488.
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Cerillo AG, Mariani M, Berti S, et al. Sizing the aortic annulus. Ann Cardiothorac Surg, 2012, 1(1): 245-256.
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中华医学会心血管病学分会结构性心脏病学组, 中国医师协会心血管内科医师分会结构性心脏病专业委员会. 中国经导管主动脉瓣置换术临床路径专家共识. 中国介入心脏病学杂志, 2018, 26(12): 661-668.
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Kolte D, Khera S, Vemulapalli S, et al. Outcomes following urgent/emergent transcatheter aortic valve replacement: insights from the STS/ACC TVT registry. JACC Cardiovasc Interv, 2018, 11(12): 1175-1185.
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- 1. Leon MB, Smith CR, Mack M, et al. Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery. N Engl J Med, 2010, 363(17): 1597-1607.
- 2. Gooley R, Cameron JD, Meredith IT. Transcatheter aortic valve implantation – yesterday, today and tomorrow. Heart Lung Circ, 2015, 24(12): 1149-1161.
- 3. Baumgartner H, Falk V, Bax JJ, et al. 2017 ESC/EACTS Guidelines for the management of valvular heart disease. Kardiol Pol, 2018, 76(1): 1-62.
- 4. Popma JJ, Deeb GM, Yakubov SJ, et al. Transcatheter aortic-valve replacement with a self-expanding valve in low-risk patients. N Engl J Med, 2019, 380(18): 1706-1715.
- 5. Mack MJ, Leon MB, Thourani VH, et al. Transcatheter aortic-valve replacement with a balloon-expandable valve in low-risk patients. N Engl J Med, 2019, 380(18): 1695-1705.
- 6. Falk V, Baumgartner H, Bax JJ, et al. 2017 ESC/EACTS guidelines for the management of valvular heart disease. Eur J Cardiothorac Surg, 2017, 52(4): 616-664.
- 7. Nishimura RA, Otto CM, Bonow RO, et al. 2014 AHA/ACC Guideline for the Management of Patients with Valvular Heart Disease: Executive Summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol, 2014, 63(22): 2438-2488.
- 8. Cerillo AG, Mariani M, Berti S, et al. Sizing the aortic annulus. Ann Cardiothorac Surg, 2012, 1(1): 245-256.
- 9. 中华医学会心血管病学分会结构性心脏病学组, 中国医师协会心血管内科医师分会结构性心脏病专业委员会. 中国经导管主动脉瓣置换术临床路径专家共识. 中国介入心脏病学杂志, 2018, 26(12): 661-668.
- 10. Kolte D, Khera S, Vemulapalli S, et al. Outcomes following urgent/emergent transcatheter aortic valve replacement: insights from the STS/ACC TVT registry. JACC Cardiovasc Interv, 2018, 11(12): 1175-1185.
