Page 31 - Journal of Structural Heart Disease Volume 4, Issue 1

Case Report 22
Figure 1. Periprocedural images. Panel A. Parasternal transthoracic echocardiogram image obtained in the systolic phase. Panel B. Chest X-ray. Axial computed tomography scan of the aortic annulus (Panel C) and sinus of Valsalva (Panel D). Ao = aorta; LV = left ventricle; LA = left atrium.
prepare for TAVR [4]. Furthermore, poor outcomes have been reported in cases of emergent conversion to open heart surgery [5]. As such, there is need for a novel quick bailout technique that does not involve greater invasion.
We successfully treated acute AR without TAVR or surgical conversion. A Fogarty catheter was used to push back the entrapped aortic valve lea et that was the cause of acute AR. This action reduced the sever- ity of the AR from severe to mild, which successful- ly stabilized the patient’s hemodynamics, thereby avoiding intubation or the need for additional TAVR
or surgical conversion. We believe this procedure could reduce the need for emergent TAVR or surgical intervention and improve patient outcomes.
Case Presentation
An 82-year-old Japanese woman was referred to our valvular heart disease department due to a heart murmur and a newly developed worsening of dys- pnea on e ort. Transthoracic echocardiography (TTE) revealed severe aortic valve stenosis, septal bulge, and mild-moderate mitral stenosis. She had been
Journal of Structural Heart Disease, February 2018
Volume 4, Issue 1:21-27