Emergent Trans-catheter Aortic Valve Replacement With Impella For Acute Onset Heart Failure Due To Aortic Stenosis
Bicuspid aortic valve is the most common congenital heart anomaly in adults and can be associated with aortic stenosis (AS), regurgitation, endocarditis, or aortic dissection. We present a 42-year-old male with acute decompensated heart failure, incidentally found to have severe AS due to bicuspid aortic valve. The patient developed multisystem organ failure and was taken for emergent TAVR with Impella placement for cardiogenic shock as he was a poor surgical candidate. We will discuss management of aortic stenosis secondary to bicuspid AV, indications for surgical vs transcatheter aortic valve replacement, as well as mechanical devices for heart failure.
Fowler J, Patel P, Navas Blanco J. Emergent trans-catheter aortic valve replacement with Impella for acute onset heart failure due to aortic stenosis. Presented at: American Society of Anesthesiology Annual Meeting; 2022 Oct 21-25; New Orleans, LA.