Transcatheter Aortic Valve Replacement for Severe Aortic Regurgitation With Acute Refractory Cardiogenic Shock |
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Authors: | Guy Achkouty Nicolas Amabile Konstantinos Zannis Aurélie Veugeois Christophe Caussin |
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Affiliation: | 1. Cardiology Department, Institut Mutualiste Montsouris, Paris, France;2. Cardiac Surgery Department, Institut Mutualiste Montsouris, Paris, France |
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Abstract: | From January 2013 to January 2017, 686 consecutive patients were referred to our centre for transcatheter aortic valve replacement, including 5 subjects with severe aortic regurgitation and acute refractory cardiogenic shock. These patients were contraindicated for surgical treatment by the heart team because of high surgical risk (median logistic EuroSCORE: 74.6/Society of Thoracic Surgeons score: 37.9). The success rate of valve implantation was 100% through transfemoral access with self-expandable devices. The observed 30-day mortality rate was 20%. Hence, the transcatheter aortic valve replacement procedure might represent a successful and life-saving intervention for treatment of patients with severe aortic regurgitation who present with acute refractory cardiogenic shock. |
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Keywords: | Corresponding author: Dr Guy Achkouty, Department of Cardiology, Institut Mutualiste Montsouris, 42 Bd Jourdan, Paris 75014, France. Tel.: +33156616556 fax: +33156616562. |
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