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. 2011 Feb;60(2):128-33.
doi: 10.4097/kjae.2011.60.2.128. Epub 2011 Feb 25.

Anesthetic considerations of percutaneous transcatheter aortic valve implantation: first attempt in Korea -A report of 2 cases-

Hyo Jung Son  1 , Hwa Mi Lee, Ji Hyun Chin, Dae Kee Choi, Eun Ho Lee, Ji Yeon Sim, In Cheol Choi
Affiliations

Anesthetic considerations of percutaneous transcatheter aortic valve implantation: first attempt in Korea -A report of 2 cases-

Hyo Jung Son et al. Korean J Anesthesiol. 2011 Feb.

Abstract

Conventional aortic valve replacement for severe aortic stenosis is associated with a high operative mortality in the elderly patients with significant comorbidities, including severe respiratory dysfunction, renal insufficiency, and compromised cardiac function. Human transcatheter aortic valve implantation was first reported in 2002 and has become a valid alternative in selected high-risk patients in Europe and North America. This article describes the first attempt of transfemoral transcatheter aortic valve implantation in Korea. The procedure was applied in two consecutive patients with severe aortic stenosis. Despite several intra-operative complications during procedure, the post-operative outcomes were good for both patients. At post-operative 30 days there was satisfactory prosthetic valve function and hemodynamic stability.

Keywords: Anesthesia; Aortic stenosis; Conventional aortic valve replacement; Percutaneous transcatheter aortic valve implantation.

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Figures

Fig. 1
Fig. 1
Changes of electrocardiogram (lead V and lead II) and arterial blood pressure before and after rapid ventricular pacing. Arrow: commencement of rapid ventricular pacing, Dotted arrow: termination of rapid ventricular pacing.
Fig. 2
Fig. 2
Root aortogram after deployment of prosthetic aortic valve shows patent coronary arteries and no aortic regurgitation. T: transesopahgeal echocardiography probe, V: prosthetic aortic valve, P: pacemaker wire.
Fig. 3
Fig. 3
The 24 French introducer sheath after removal. A segment of the external iliac artery is torn out with the sheath.
Fig. 4
Fig. 4
Follow-up chest radiograph shows no movement of embolized valve. E: embolized prosthetic valve, V: prosthetic valve.
Fig. 5
Fig. 5
Mid esophageal AV long axis view shows a stable valve position and no paravalvular leakage.
See this image and copyright information in PMC

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