Successful resuscitation from two cardiac arrests in a female patient with critical aortic stenosis, severe mitral regurgitation and coronary artery disease

Translated title of the contribution: Successful resuscitation from two cardiac arrests in a female patient with critical aortic stenosis, severe mitral regurgitation and coronary artery disease

Dragan Mijušković, Dušica M. Stamenković, Saša Borović, Menelaos Karanikolas

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Introduction. The incidence of sudden cardiac death in patients with severe symptomatic aortic stenosis is up to 34% and resuscitation is described as highly unsuccessful. Case report. A 72-year-old female patient with severe aortic stenosis combined with severe mitral regurgitation and three-vessel coronary artery disease was successfully resuscitated following two in-hospital cardiac arrests. The first cardiac arrest occurred immediately after intraarterial injection of low osmolar iodinated agent during coronary angiography. Angiography revealed 90% occlusion of the proximal left main coronary artery and circumflex branch. The second arrest followed induction of anesthesia. Following successful open-chest resuscitation, aortic valve replacement, mitral valvuloplasty and three-vessel aortocoronary bypass were performed. Postoperative pericardial tamponade required surgical revision. The patient recovered completely. Conclusion. Decision to start resuscitation may be justified in selected patients with critical aortic stenosis, even though cardiopulmonary resuscitation in such cases is generally considered futile.

Translated title of the contributionSuccessful resuscitation from two cardiac arrests in a female patient with critical aortic stenosis, severe mitral regurgitation and coronary artery disease
Original languageEnglish
Pages (from-to)714-716
Number of pages3
JournalVojnosanitetski Pregled
Volume69
Issue number8
DOIs
StatePublished - Aug 2012

Keywords

  • Aortic valve stenosis
  • Coronary artery disease
  • Heart arrest
  • Mitral valve insufficiency
  • Resuscitation
  • Treatment outcome

Fingerprint

Dive into the research topics of 'Successful resuscitation from two cardiac arrests in a female patient with critical aortic stenosis, severe mitral regurgitation and coronary artery disease'. Together they form a unique fingerprint.

Cite this