FOR HEALTHCARE PROFESSIONALS ONLY

Call for clinical cases - Click here!

Emergent balloon aortic valvuloplasty on a cardiogenic shock patient

Miguel Martins de Carvalho 1,2; Ricardo Alves Pinto1; Tânia Proença1; Cristina Cruz1; João Carlos Silva1; Filipe Macedo1,2
1 Serviço de Cardiologia, Centro Hospitalar Universitário de São João, Portugal
2 Cardiovascular R&D Center, Faculty of Medicine of the University of Porto

Published: November 2022

Subject area: Aortic stenosis, Heart failure with reduced ejection fraction, Critically ill cardiac patient

DOI: https://doi.org/10.57139/XUVP8343

Abstract

The authors describe a case of a severe aortic stenosis patient with concomitant 3-vessel coronary artery disease and severe left ventricle systolic dysfunction who presented in cardiogenic shock. It was decided to perform a balloon aortic valvuloplasty as a life-saving procedure and as a bridge to surgery or transcatheter aortic valve implantation. The patient improved and is alive and well after 3 years. Balloon aortic valvuloplasty is a procedure that can be done in acute setting, improving the hemodynamic status of the patient on the short-term. In current clinical practice, it is rarely performed, due to its transitory results. Nonetheless, it is a safe procedure, currently with better results due to technic improvement, and it is re-emerging in Cardiology internationally. It can be used either as an emergent procedure (changing patient’s prognosis) or as a palliative measure for symptomatic improvement, and it should be considered in these cases.


Subject area: Aortic stenosis, Heart failure with reduced ejection fraction, Critically ill cardiac patient

Emergent balloon aortic valvuloplasty on a cardiogenic shock patient


Authors

Miguel Martins de Carvalho

Serviço de Cardiologia, Centro Hospitalar Universitário de São João, Portugal
Cardiovascular R&D Center, Faculty of Medicine of the University of Porto

Ricardo Alves Pinto

Serviço de Cardiologia, Centro Hospitalar Universitário de São João, Portugal

Tânia Proença

Serviço de Cardiologia, Centro Hospitalar Universitário de São João, Portugal

Cristina Cruz

Serviço de Cardiologia, Centro Hospitalar Universitário de São João, Portugal

João Carlos Silva

Serviço de Cardiologia, Centro Hospitalar Universitário de São João, Portugal

Filipe Macedo

Centro Hospitalar de Leiria
Cardiovascular R&D Center, Faculty of Medicine of the University of Porto

Correspondence to [email protected]


Subject area: Secondary prevention of cardiovascular disease

Citation

Emergent balloon aortic valvuloplasty on a cardiogenic shock patient

Share this article

Click the icon of the social media platform on which you would like to share this article.

https://evigationclinicalcases.com/clinical-case/1051-emergent-balloon-aortic-valvuloplasty-on-a-cardiogenic-shock-patient
Email this article to a friend or colleague

* Required Fields

You need to log in to have access to this complete clinical case
-
Don't you have an account? Register Get help with access

I WANT TO SUBMIT A CASE!

CLICK HERE

 

Subject areas

> Imaging

— Multimodality
— Echocardiography
— Cardiac magnetic resonance imaging
— Cardiac computed tomography
— Nuclear techniques

> Coronary artery disease

— Acute coronary syndrome
— Chronic coronary syndrome

> Valvular heart disease

— Aortic regurgitation
— Aortic stenosis
— Mitral regurgitation
— Mitral stenosis
— Tricuspid regurgitation
— Tricuspid stenosis
— Pulmonary regurgitation
— Pulmonary stenosis
— Multivalvular disease
— Prosthetic valves
— Endocarditis

> Rhythm disorders

— Syncope — Atrial fibrillation
— Atrial flutter
— Supraventricular tachycardia
— Ventricular arrhythmia
— Bradycardia
— Cardiac ion channel dysfunction
— Pacemaker
— Implantable cardioverter-defibrillator
— Cardiac resynchronization therapy device

> Heart Failure

— Heart failure with reduced ejection fraction
— Heart failure with mildly reduced ejection fraction
— Heart failure with preserved ejection fraction
— Acute heart failure
— Cardiomyopathy
— Pericardial disease
— Right heart dysfunction
— Cardiac dysfunction in oncology patients

> Acute cardiovascular care

— Post-cardiac arrest
— Critically ill cardiac patient
— Patient after percutaneous cardiac procedure
— Patient after cardiac surgery
— End-of-life care in a critically ill cardiac patient

> Prevention, rehabilitation, sports

— Heart disease in the athlete (Sports Cardiology)
— Arterial hypertension
— Dyslipidaemia
— Heart disease in diabetes
— Primary prevention of cardiovascular disease
— Secondary prevention of cardiovascular disease
— Cardiac rehabilitation

> Miscellaneous

— Cardiac tumour
— Aortic disease
— Trauma to the aorta or the heart
— Peripheral artery disease
— Thromboembolic venous disease
— Pulmonary thromboembolism
— Pulmonary hypertension
— Adult congenital heart disease
— Pregnancy and heart disease
— Digital health in Cardiology

 

Do you want to keep up to date with new clinical cases?

Contact us

The best way to contact us is by email.

For questions about clinical cases submissions, please contact: [email protected]
For technical assistance at any step of the process, or bug report, please contact: [email protected]