Acute Presentation of Critical Aortic Stenosis, Cardiogenic Shock, and the "Heart Team" Approach to Management

Travis W Haneke; Steven M Costa; Robert J Widmer; Detlef Wencker; Caden Costa; Amber Malhotra; Giuseppe Tavilla; Ramachandra C Reddy

doi:10.1016/j.jaccas.2023.101958

Acute Presentation of Critical Aortic Stenosis, Cardiogenic Shock, and the "Heart Team" Approach to Management

JACC Case Rep. 2023 Jul 27:21:101958. doi: 10.1016/j.jaccas.2023.101958. eCollection 2023 Sep 6.

Authors

Travis W Haneke¹, Steven M Costa¹, Robert J Widmer¹, Detlef Wencker¹, Caden Costa², Amber Malhotra³, Giuseppe Tavilla³, Ramachandra C Reddy³

Affiliations

¹ Baylor Scott & White-Temple Department of Cardiovascular Disease, Temple, Texas, USA.
² Texas A&M College of Medicine, Bryan, Texas, USA.
³ Baylor Scott & White-Temple Department of Cardiovascular and Thoracic Surgery, Temple, Texas, USA.

Abstract

A 65-year-old male was admitted for cardiogenic shock (ejection fraction: 15%) with severe aortic stenosis and regurgitation. He underwent emergency angiography and mechanical circulatory support. A multidisciplinary heart team discussed treatment options. Ultimately, he underwent successful emergency surgical aortic valve replacement with recovery on extracorporeal membrane oxygenation. (Level of Difficulty: Intermediate.).

Keywords: cardiogenic shock; severe critical aortic stenosis; surgical aortic valve replacement; “heart team”–based approach.

Publication types

Case Reports