Anesthetic Management of a Patient on Venoarterial Extracorporeal Membrane Oxygenation Undergoing Transcatheter Aortic Valve Implantation

A 41-YEAR-OLD male with a complex history including a bicuspid aortic valve with aortic stenosis, a background of inherited cardiomyopathy, and an implantable cardiac defibrillator for prevention of malignant arrhythmias presented to the cardiology department of our hospital with signs and symptoms of congestive heart failure. He previously had undergone a full workup for transcatheter aortic valve implantation (TAVI), including multidetector computed tomography for annular sizing. A transthoracic echocardiogram performed on this patient showed a left ventricular ejection fraction of 15% to 20% with low-flow/low-gradient severe aortic stenosis (aortic valve area: 0.9 cm2, peak gradient: 27 mmHg).
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Letter to the Editor Source Type: research