Abstract
Five patients with critical aortic stenosis (aortic valve area 0.6 cm2 or less) died 2 days to 21 days following cardiac catheterization performed in anticipation of cardiac surgery. A sixth patient was successfully resuscitated for spontaneous ventricular fibrillation, and successful aortic valve replacement was accomplished. Two patients had prior history of syncope; one patient, of ventricular tachycardia; three patients, of pulmonary edema; and three patients, of crescendo angina. One patient had severe hypotension during maintenance hemodialysis for chronic renal failure. The mode of death was sudden but not witnessed in two patients. The terminal cardiac rhythms were slow junctional in one patient, idioventricular in one, ventricular tachycardia in one, and ventricular fibrillation in the fourth patient. We conclude that symptomatic patients with critical aortic stenosis should be monitored after cardiac catheterization, and surgery should be performed as soon as possible since sudden death is not unusual.
References
Feb 1, 1977·The American Journal of Cardiology·P D SteinJ V Pitha
Feb 1, 1977·The American Journal of Cardiology·S J FischlM V Herman
Sep 1, 1977·Annals of Internal Medicine·R C DhingraK M Rosen
Feb 1, 1975·The American Journal of Cardiology·E Rapaport
Jan 1, 1976·Circulation·M G Bourassa, J Noble
Dec 1, 1974·Circulation·J W HirshfeldA G Morrow
Jan 1, 1973·British Heart Journal·S FrankJ Ross
Jun 1, 1973·The American Journal of Cardiology·D HuntH T Dodge
Sep 1, 1972·Circulation·F E KlosterM P Judkins
May 1, 1971·The American Journal of Cardiology·W C RobertsT Costantino
May 1, 1968·Circulation·E Braunwald
Jul 1, 1968·British Heart Journal·M Campbell
May 1, 1969·The American Journal of Cardiology·L S SchwartzS P Schwartz
Mar 1, 1969·Investigative Radiology·I S Kasser, J W Kennedy
Sep 1, 1966·Investigative Radiology·F E KlosterH E Griswold
Jan 1, 1962·Circulation·E C BROCKENBROUGHJ ROSS
Mar 1, 1963·Circulation·E BRAUNWALDA G MORROW
Sep 1, 1963·Circulation·D HEATHP DAVISON
Feb 1, 1965·Circulation·R BROWNH J SWAN
May 1, 1965·Circulation·G C FRIESINGERR S ROSS
Feb 1, 1951·A.M.A. Archives of Internal Medicine·J F HAMMARSTEN
Jan 1, 1951·American Heart Journal·R GORLIN, S G GORLIN
Citations
Apr 28, 1999·Pediatric Clinics of North America·S BergerD Z Friedberg
Jul 18, 2001·Progress in Pediatric Cardiology·L Kochilas, R E. Tanel
Jul 17, 2003·Pediatric Case Reviews·R E Tanel
Dec 15, 2015·Canadian Journal of Physiology and Pharmacology·Vineet GoyalNaranjan S Dhalla
Nov 6, 2012·Anaesthesia·L BergmannE Kottenberg
May 1, 1997·Cardiology Clinics·R E Tanel, E P Walsh
Mar 6, 2021·The American Journal of Cardiology·Shane P PrejeanAmi E Iskandrian