Suicide left ventricle following protamine: A case report

A patient with severe aortic stenosis and left ventricular hypertrophy underwent a transcatheter aortic valve replacement. The patient's blood pressure significantly dropped after protamine administration. A diagnosis of suicide left ventricle post‐valve replacement was made. The diagnosis and...

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Veröffentlicht in:	Catheterization and cardiovascular interventions 2023-02, Vol.101 (3), p.592-595
Hauptverfasser:	Erdem, Saliha, An, Sin Y., McAlister, Courtney A., Basra, Sukhdeep S.
Format:	Artikel
Sprache:	eng
Schlagworte:	Aortic stenosis Aortic valve Aortic Valve - diagnostic imaging Aortic Valve - surgery Aortic Valve Stenosis - diagnostic imaging Aortic Valve Stenosis - surgery Blood pressure Case reports complication Diagnosis Heart heart failure Heart Ventricles Humans Hypertrophy Hypertrophy, Left Ventricular left ventricle function Protamine sulfate Suicide Transcatheter Aortic Valve Replacement - adverse effects Treatment Outcome valve replacement Ventricle
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Beschreibung
Zusammenfassung:	A patient with severe aortic stenosis and left ventricular hypertrophy underwent a transcatheter aortic valve replacement. The patient's blood pressure significantly dropped after protamine administration. A diagnosis of suicide left ventricle post‐valve replacement was made. The diagnosis and management of the protamine reaction are detailed. This case highlights the need to slowly infuse protamine sulfate and monitor for adverse events.
ISSN:	1522-1946 1522-726X
DOI:	10.1002/ccd.30528