Date of Presentation

5-6-2021 12:00 AM

College

School of Osteopathic Medicine

Poster Abstract

• The transcatheter aortic valve replacement (TAVR) has become a relatively common treatment option for aortic stenosis, especially given the growing number of older patients with severe degenerative aortic stenosis

• While the procedure is overall very safe, there are still a number of potentially serious complications including bleeding, stroke, and cardiac tamponade. One rare complication is a dynamic left ventricular obstruction post valve deployment, which has been called the “Suicide LV” phenomenon.

• Rapid hemodynamic compromise resulting from this can result in significant morbidity and mortality if not diagnosed in time.

• Given the increasing frequency of patients undergoing this procedure, it is important to highlight this underrecognized problem

Keywords

transcatheter aortic valve replacement, TAVR, dynamic left ventricular obstruction, Suicide LV, Aortic Valve Stenosis

Disciplines

Cardiology | Cardiovascular Diseases | Medicine and Health Sciences

Document Type

Poster

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May 6th, 12:00 AM

Dynamic Left Ventricular Obstruction Post Transcatheter Aortic Valve Replacement (TAVR): The “Suicide LV” Phenomenon

• The transcatheter aortic valve replacement (TAVR) has become a relatively common treatment option for aortic stenosis, especially given the growing number of older patients with severe degenerative aortic stenosis

• While the procedure is overall very safe, there are still a number of potentially serious complications including bleeding, stroke, and cardiac tamponade. One rare complication is a dynamic left ventricular obstruction post valve deployment, which has been called the “Suicide LV” phenomenon.

• Rapid hemodynamic compromise resulting from this can result in significant morbidity and mortality if not diagnosed in time.

• Given the increasing frequency of patients undergoing this procedure, it is important to highlight this underrecognized problem

 

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