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
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 suspici...
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| Veröffentlicht in: | European journal of cardio-thoracic surgery 2020-07, Vol.58 (1), p.188-189 |
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| container_title | European journal of cardio-thoracic surgery |
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| creator | Bauernschmitt, Robert Gabriel, Philip Gottardi, Roman Sodian, Ralf |
| description | 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. |
| doi_str_mv | 10.1093/ejcts/ezaa193 |
| format | Article |
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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.</description><identifier>ISSN: 1010-7940</identifier><identifier>EISSN: 1873-734X</identifier><identifier>DOI: 10.1093/ejcts/ezaa193</identifier><identifier>PMID: 32510155</identifier><language>eng</language><publisher>Germany: Oxford University Press</publisher><subject>Aortic Valve Insufficiency - complications ; Aortic Valve Insufficiency - surgery ; Betacoronavirus - isolation & purification ; Case Report ; Coronavirus Infections - complications ; Coronavirus Infections - diagnosis ; COVID-19 ; Humans ; Male ; Middle Aged ; Pandemics ; Pneumonia, Viral - complications ; Pneumonia, Viral - diagnosis ; SARS-CoV-2 ; Transcatheter Aortic Valve Replacement - methods</subject><ispartof>European journal of cardio-thoracic surgery, 2020-07, Vol.58 (1), p.188-189</ispartof><rights>The Author(s) 2020. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved. 2020</rights><rights>The Author(s) 2020. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c420t-a95ea8dec1ec130d75c15f58e3a4b83b0ecb8c138b9bd21eb4277af4f2a427343</citedby><cites>FETCH-LOGICAL-c420t-a95ea8dec1ec130d75c15f58e3a4b83b0ecb8c138b9bd21eb4277af4f2a427343</cites><orcidid>0000-0001-9716-3655</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,1578,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32510155$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bauernschmitt, Robert</creatorcontrib><creatorcontrib>Gabriel, Philip</creatorcontrib><creatorcontrib>Gottardi, Roman</creatorcontrib><creatorcontrib>Sodian, Ralf</creatorcontrib><title>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</title><title>European journal of cardio-thoracic surgery</title><addtitle>Eur J Cardiothorac Surg</addtitle><description>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.</description><subject>Aortic Valve Insufficiency - complications</subject><subject>Aortic Valve Insufficiency - surgery</subject><subject>Betacoronavirus - isolation & purification</subject><subject>Case Report</subject><subject>Coronavirus Infections - complications</subject><subject>Coronavirus Infections - diagnosis</subject><subject>COVID-19</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pandemics</subject><subject>Pneumonia, Viral - complications</subject><subject>Pneumonia, Viral - diagnosis</subject><subject>SARS-CoV-2</subject><subject>Transcatheter Aortic Valve Replacement - methods</subject><issn>1010-7940</issn><issn>1873-734X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUU1v1DAUtBAVLQtHrshHLqZ27OCEAxJaClSq1AtU3KwX52XXVRIH29mq_J7-ULwfLPSEZMmjN-OZZw0hrwR_K3gtz_HWpniOvwBELZ-QM1FpybRUP55mzAVnulb8lDyP8ZZz_k4W-hk5lUWZubI8Iw830G-QuZFttoCmAGO0kNaYMFDwITlL91TAqQeLA46JupECvffzuKITJLcd3bm0zsM4xwltwpYur28uPzFRZ3GXJ86P73d8WDkLPW1dj8MAW6ucRjEA9d0OHh9OMLY4OPuCnHTQR3x5uBfk--eLb8uv7Or6y-Xy4xWzquCJQV0iVC1akY_krS6tKLuyQgmqqWTD0TZVZqqmbtpCYKMKraFTXQEZSSUX5MPed5qbAVubvxWgN1NwA4R748GZx8zo1mblN0ZLoXgls8Gbg0HwP2eMyQwuWux7GNHP0RRKcC2kzMUtCNtLbfAxBuyOMYKbbbNm16w5NJv1r__d7aj-U-XfbD9P__H6Dd14shs</recordid><startdate>20200701</startdate><enddate>20200701</enddate><creator>Bauernschmitt, Robert</creator><creator>Gabriel, Philip</creator><creator>Gottardi, Roman</creator><creator>Sodian, Ralf</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-9716-3655</orcidid></search><sort><creationdate>20200701</creationdate><title>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</title><author>Bauernschmitt, Robert ; Gabriel, Philip ; Gottardi, Roman ; Sodian, Ralf</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c420t-a95ea8dec1ec130d75c15f58e3a4b83b0ecb8c138b9bd21eb4277af4f2a427343</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aortic Valve Insufficiency - complications</topic><topic>Aortic Valve Insufficiency - surgery</topic><topic>Betacoronavirus - isolation & purification</topic><topic>Case Report</topic><topic>Coronavirus Infections - complications</topic><topic>Coronavirus Infections - diagnosis</topic><topic>COVID-19</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pandemics</topic><topic>Pneumonia, Viral - complications</topic><topic>Pneumonia, Viral - diagnosis</topic><topic>SARS-CoV-2</topic><topic>Transcatheter Aortic Valve Replacement - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bauernschmitt, Robert</creatorcontrib><creatorcontrib>Gabriel, Philip</creatorcontrib><creatorcontrib>Gottardi, Roman</creatorcontrib><creatorcontrib>Sodian, Ralf</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European journal of cardio-thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bauernschmitt, Robert</au><au>Gabriel, Philip</au><au>Gottardi, Roman</au><au>Sodian, Ralf</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>European journal of cardio-thoracic surgery</jtitle><addtitle>Eur J Cardiothorac Surg</addtitle><date>2020-07-01</date><risdate>2020</risdate><volume>58</volume><issue>1</issue><spage>188</spage><epage>189</epage><pages>188-189</pages><issn>1010-7940</issn><eissn>1873-734X</eissn><abstract>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.</abstract><cop>Germany</cop><pub>Oxford University Press</pub><pmid>32510155</pmid><doi>10.1093/ejcts/ezaa193</doi><tpages>2</tpages><orcidid>https://orcid.org/0000-0001-9716-3655</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Aortic Valve Insufficiency - complications Aortic Valve Insufficiency - surgery Betacoronavirus - isolation & purification Case Report Coronavirus Infections - complications Coronavirus Infections - diagnosis COVID-19 Humans Male Middle Aged Pandemics Pneumonia, Viral - complications Pneumonia, Viral - diagnosis SARS-CoV-2 Transcatheter Aortic Valve Replacement - methods |
| title | 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 |
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