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. 2021 Aug;117(2):404-406.
doi: 10.36660/abc.20201097.

Patient in Cardiorespiratory Arrest - Is it Possible to Perform Transcatheter Aortic Valve Implantation (TAVI) in this Scenario?

[Article in English, Portuguese]
Alexandre de Matos Soeiro  1 , Francisco Akira Cardozo  1 , Patrícia Oliveira Guimarães  1 , Marcel Paula Pereira  1 , Paulo Vinícius Ramos Souza  1 , Gustavo A B Boros  1 , Viviane Cordeiro Veiga  1 , Samolon Soriano Ordinola Rojas  1 , Fernanda Marinho Mangione  1 , Salvador André Bavaresco Cristóvão  1 , Gustavo Alexandre Dutra  1 , Adnan Ali Salman  1 , Luiz Eduardo Loureiro Bettarello  1 , José Armando Mangione  1
Affiliations

Patient in Cardiorespiratory Arrest - Is it Possible to Perform Transcatheter Aortic Valve Implantation (TAVI) in this Scenario?

[Article in English, Portuguese]
Alexandre de Matos Soeiro et al. Arq Bras Cardiol. 2021 Aug.
No abstract available

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Conflict of interest statement

Potencial conflito de interesse

Não há conflito com o presente artigo

Figures

Figura 1
Figura 1. Ecocardiograma transtorácico em janela apical pré-TAVI mostrando valva aórtica calcificada com área valvar de 0,6 cm2 e gradiente ventrículo esquerdo-aorta máximo de 66 mmHg e médio de 35 mmHg.
Figura 2
Figura 2. Realização de TAVI com prótese Edward SAPIEN 3 no 26 somente com visualização da escopia durante manobras de RCP. A) Posicionamento dos cateteres. B) Alinhamento da prótese no anel valvar aórtico. C) Prótese colocada em posição aórtica.
Figura 3
Figura 3. Ecocardiograma transtorácico após TAVI mostrando fração de ejeção de ventrículo esquerdo de 33%, prótese em posição aórtica com gradiente ventrículo esquerdo-aorta máximo de 35 mmHg e médio de 17 mmHg, com insuficiência aórtica periprótese de discreta a moderada.
Figure 1
Figure 1. Transthoracic echocardiogram in pre-TAVI apical window showing a calcified aortic valve, with valvular area of 0.6 cm2 and maximum left ventricle-aorta gradient of 66 mmHg and mean gradient of 35 mmHg.
Figure 2
Figure 2. TAVI was performed with an Edwards SAPIEN 3 prosthesis n. 26, with scope visualization only, during CPR maneuvers. A) Positioning of catheters; B) Alignment of the prosthesis in the aortic valve annulus; C) Prosthesis shown in the aortic position.
Figure 3
Figure 3. Transthoracic echocardiogram after TAVI, showing a left ventricular ejection fraction of 33%, prosthesis in the aortic position with a maximum left ventricle-aortic gradient of 35 mmHg and a mean gradient of 17 mmHg, with mild to moderate peri-prosthesis aortic insufficiency.
See this image and copyright information in PMC

References

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