Mechanical circulatory support in patients with severe aortic stenosis and left ventricular dysfunction undergoing percutaneous coronary intervention

J Card Surg. 2017 Apr;32(4):245-249. doi: 10.1111/jocs.13116. Epub 2017 Mar 7.

Abstract

Management of obstructive coronary artery disease in patients with aortic stenosis and severe left ventricular dysfunction is challenging. Mechanical circulatory support at the time of percutaneous coronary interventions may be necessary in these extreme-risk patients. We present a case in which the TandemHeart was used to support a patient with severe aortic stenosis, severe protected left main and circumflex disease, and severe cardiomyopathy and review the literature on this subject.

Keywords: aortic stenosis; coronary artery disease; left ventricular dysfunction; mechanical circulatory support.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Aortic Valve Stenosis / complications
  • Aortic Valve Stenosis / diagnostic imaging
  • Aortic Valve Stenosis / surgery*
  • Assisted Circulation / instrumentation*
  • Assisted Circulation / methods
  • Coronary Angiography
  • Heart-Assist Devices*
  • Humans
  • Intraoperative Care / methods*
  • Male
  • Percutaneous Coronary Intervention*
  • Severity of Illness Index
  • Ventricular Dysfunction, Left / complications
  • Ventricular Dysfunction, Left / diagnostic imaging
  • Ventricular Dysfunction, Left / surgery*