Acute Presentation of Critical Aortic Stenosis, Cardiogenic Shock, and the “Heart Team” Approach to Management

Travis W. Haneke, MD; Steven M. Costa, MD; Robert J. Widmer, MD, PhD; Detlef Wencker, MD; Caden Costa, BS; Amber Malhotra, MD; Giuseppe Tavilla, MD, PhD; Ramachandra C. Reddy, MD

JACC: Case Reports (Sep 2023)

Acute Presentation of Critical Aortic Stenosis, Cardiogenic Shock, and the “Heart Team” Approach to Management

Travis W. Haneke, MD,
Steven M. Costa, MD,
Robert J. Widmer, MD, PhD,
Detlef Wencker, MD,
Caden Costa, BS,
Amber Malhotra, MD,
Giuseppe Tavilla, MD, PhD,
Ramachandra C. Reddy, MD

Affiliations

Travis W. Haneke, MD: Baylor Scott & White–Temple Department of Cardiovascular Disease, Temple, Texas, USA
Steven M. Costa, MD: Baylor Scott & White–Temple Department of Cardiovascular Disease, Temple, Texas, USA; Address for correspondence: Dr Steven M. Costa, BSW Department of Cardiology, 2401 South 31st Street, Temple, Texas 76508 USA.
Robert J. Widmer, MD, PhD: Baylor Scott & White–Temple Department of Cardiovascular Disease, Temple, Texas, USA
Detlef Wencker, MD: Baylor Scott & White–Temple Department of Cardiovascular Disease, Temple, Texas, USA
Caden Costa, BS: Texas A&M College of Medicine, Bryan, Texas, USA
Amber Malhotra, MD: Baylor Scott & White–Temple Department of Cardiovascular and Thoracic Surgery, Temple, Texas, USA
Giuseppe Tavilla, MD, PhD: Baylor Scott & White–Temple Department of Cardiovascular and Thoracic Surgery, Temple, Texas, USA
Ramachandra C. Reddy, MD: Baylor Scott & White–Temple Department of Cardiovascular and Thoracic Surgery, Temple, Texas, USA

Journal volume & issue: Vol. 21
p. 101958

Abstract

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A 65-year-old male was admitted for cardiogenic shock (ejection fraction: 15%) with severe aortic stenosis and regurgitation. He underwent emergency angiography and mechanical circulatory support. A multidisciplinary heart team discussed treatment options. Ultimately, he underwent successful emergency surgical aortic valve replacement with recovery on extracorporeal membrane oxygenation. (Level of Difficulty: Intermediate.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

About the journal

Abstract

Keywords