Left Ventricular Outflow Obstruction From Mechanical Circulatory Support in Critical Aortic Stenosis: A Cautionary Tale.

Jakrin Kewcharoen,Saif Ali,Rachel Stoelk,Haig Lafian,Dmitry Abramov,Vinoy Prasad

JACC. Case reports（2023）

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Abstract

We submit a cautionary tale of a patient with critical aortic stenosis presenting with acute myocardial infarction and cardiogenic shock, who underwent balloon aortic valvuloplasty, insertion of a transvalvular left percutaneous ventricular assist device and high-risk percutaneous coronary intervention, with a post-operative course complicated by outflow obstruction from the device itself. ().

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Key words

aortic stenosis,cardiogenic shock,mechanical support,myocardial infarction,percutaneous ventricular assist device

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