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Suprasternal Approach to Transcatheter Aortic Valve Replacement in a Complex Congenital Pediatric Patient Presenting With Cardiogenic Shock
- Source :
- Cardiovascular Revascularization Medicine. 21:39-42
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- Transcatheter aortic valve replacement (TAVR) offers well established benefit for adults with severe aortic stenosis, although applications in the pediatric population remain limited. We describe a case of a 15-year-old male with complex congenital heart disease presenting with cardiogenic shock in the setting of mixed severe aortic stenosis (AS) and severe aortic insufficiency (AI). Self-expanding TAVR was performed via suprasternal approach with robust clinical improvement. At one month follow up, he had resolution of clinical heart failure with improvement in ejection fraction and no symptoms of valvulopathy. To our knowledge, there have been no described cases of suprasternal TAVR in a pediatric patient.
- Subjects :
- medicine.medical_specialty
Ejection fraction
Transcatheter aortic
business.industry
Cardiogenic shock
medicine.medical_treatment
General Medicine
030204 cardiovascular system & hematology
medicine.disease
03 medical and health sciences
Stenosis
Pediatric patient
0302 clinical medicine
Valve replacement
Heart failure
Internal medicine
medicine
Cardiology
030212 general & internal medicine
Cardiology and Cardiovascular Medicine
business
Pediatric population
Subjects
Details
- ISSN :
- 15538389
- Volume :
- 21
- Database :
- OpenAIRE
- Journal :
- Cardiovascular Revascularization Medicine
- Accession number :
- edsair.doi...........ccd6e60c467f47410f8090ff1c4a401d