Citation

Gerckens U, Pizzulli L, Raisakis K. J. Invasive Cardiol. 2013; 25(5): E114-117.

Copyright

(Copyright © 2013, Health Management Publications)

DOI

unavailable

PMID

unavailable

Abstract

With the advent of transcatheter aortic valve implantation (TAVI), many AS patients, formerly considered inoperable, can receive effective treatment. The relief of the left ventricular pressure overload could lead, in some cases, to the occurrence of dynamic intracavity pressure gradients (DIG) with deleterious clinical impact. This phenomenon resembles the physiology seen in hypertrophic obstructive cardiomyopathy. We report a case in which alcohol septal ablation was used as a bail-out therapy for the acutely developed intracavity obstruction after TAVI. Potential dynamic intracavity gradients should always be excluded in the acutely deteriorated patient postoperatively. Alcohol septal ablation can be considered as a salvage therapeutic tool when other therapies are ineffective to treat subvalvular obstruction.

Language: en

Keywords

Humans; Female; human; Ethanol; female; alcohol; Aged, 80 and over; Treatment Outcome; case report; Heart Ventricles; treatment outcome; surgery; heart catheterization; procedures; heart ventricle; Salvage Therapy; catheter ablation; aorta valve; Aortic Valve; salvage therapy; very elderly; Cardiomyopathy, Hypertrophic; Heart Valve Prosthesis Implantation; Aortic Stenosis, Subvalvular; Cardiac Catheterization; Catheter Ablation; heart valve replacement