Combination therapy using trans-catheter aortic valve implantation and adaptive servo-ventilation in patient with aortic stenosis and heart failure. Issue 5 (May 2021)

• Record Type: Journal Article
• Authors: Imamura, Teruhiko; Hori, Masakazu; Tanaka, Shuhei; Fukuda, Nobuyuki; Sobajima, Mitsuo; Ueno, Hiroshi; Kinugawa, Koichiro
• Is Part Of: Journal of cardiology cases. Volume 23:Issue 5(2021)
• Page Start: 224
• Page End: 226
• Publication Date: 2021-05
• Subjects: Heart failure -- Non-invasive positive pressure ventilation -- Hemodynamics -- Case report; Cardiology -- Periodicals; Cardiovascular Diseases -- Case Reports; Cardiovascular Diseases -- Periodicals; Cardiology -- Case Reports; Cardiology -- Periodicals; Cardiology; Electronic journals; Periodicals; 616.12
• DOI: 10.1016/j.jccase.2020.11.002
• Languages: English
• ISSNs: 1878-5409

Abstract

Abstract: Severe aortic stenosis sometimes accompanies advanced heart failure with reduced cardiac contractility (i.e. low-flow low-gradient aortic stenosis). The therapeutic strategy for the remaining heart failure following trans-catheter aortic valve implantation remains unknown. An 84-year-old man with six hospitalizations due to aortic stenosis and congestive heart failure with reduced ejection fraction was admitted to our institute. Heart failure remained following trans-catheter aortic valve implantation. Additional adaptive servo-ventilation therapy with optimal pressure setting determined by the ramp test further improved his heart failure symptoms. Combination therapy using trans-catheter aortic valve implantation and adaptive servo-ventilation might be a promising therapeutic tool to ameliorate heart failure with severe aortic stenosis. <;Learning objective: Adaptive servo-ventilation might be a promising therapy in patients with persistent congestive heart failure following trans-catheter aortic valve implantation for severe aortic stenosis.>