Valve-in-valve transcatheter aortic valve replacement in a young patient with a suspected COVID-19 infection: a surgical dilemma in the era of the COVID-19 pandemic

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Robert BauernschmittRalf Sodian

Abstract

We report on a case of a 57-year-old male patient, who underwent full root replacement in 2005 and now presented with high grade aortic insufficiency. On admission, the patient underwent a computed tomography scan which demonstrated interstitial infiltration in the left lung, highly suspicious for a COVID-19 infection that could not be confirmed by reverse transcription polymerase chain reaction (RT-PCR) testing. As there usually is a delay between infection and positive RT-PCR test results, the initial decision was to perform additional testing. However, the patient deteriorated quickly in spite of optimal medical therapy making urgent aortic valve replacement necessary. We decided to perform transcatheter aortic valve replacement to avoid cardiopulmonary bypass with shorter operative times, presumably shorter ventilation times and duration of intensive care unit stay, and thus a lesser risk for pulmonary complications.

References

Feb 9, 2019·Journal of the American College of Cardiology·Lars SøndergaardHans Gustav Hørsted Thyregod
Apr 16, 2020·Diagnostic and Interventional Imaging·C HaniM-P Revel

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Citations

Apr 13, 2021·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Enrico GiacominCarlo Cernetti
Nov 19, 2021·European Heart Journal·UNKNOWN Task Force for the management of COVID-19 of the European Society of Cardiology
Dec 6, 2021·Cardiovascular Research·UNKNOWN Task Force for the management of COVID-19 of the European Society of Cardiology

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BETA
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