A Case of an Aortic Dissection After Mechanical Chest Compression by LUCAS

Ho, Karen; Kopriva, David; Dehghani, Payam

doi:10.1016/j.jaccas.2020.06.033

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…Unresponsiveness to initial therapy of cardiogenic pulmonary edema implies that TAD developed spontaneously and not as a traumatic consequence of cardiopulmonary resuscitation. Nevertheless, chest compression-related aortic injuries should be taken into consideration in cardiac arrest survivors, especially after prolonged mechanical resuscitation and extracorporeal cardiopulmonary resuscitation, which are increasingly used [ 7 ]. To the best of our knowledge, cardiopulmonary resuscitation-induced TAD with an entry localized in the area of TAVR prosthesis has not been described in the literature to date.…”

Section: Discussionmentioning

confidence: 99%

Cardiac Arrest as an Uncommon Manifestation of Late Type A Aortic Dissection Associated with Transcatheter Aortic Valve Replacement

Naar

Vondráková

Krüger

et al. 2023

JCM

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Transcatheter aortic valve replacement (TAVR) is a minimally invasive therapeutic procedure with a consistent, linear increase in the number of implantations worldwide. Recently, TAVR has been rapidly expanding into lower-risk populations. Sporadic cases of late prosthesis-related Stanford type A dissection have been documented in self-expanding, as well as balloon-expandable TAVR valves, manifested primarily as acute aortic syndrome. We present the case of a 76-year-old male, who experienced refractory in-hospital cardiac arrest with non-shockable rhythm due to the obstruction of coronary flow caused by aortic dissection type A, with entry directly adjacent to the aortic prosthesis according to autopsy. The patient died despite the engagement of extracorporeal cardiopulmonary resuscitation. Aortic dissection developed one year after a transfemoral TAVR procedure using an Edwards SAPIEN 3 29 mm self-expanding valve. TAVR-associated late aortic dissection type A represents a rare, life-threatening condition with various clinical manifestations. The risk factors have not been well described and the differential diagnosis may be challenging. As the number of TAVR recipients and their life expectancy is increasing, we may face this complication more often in future.

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Section: Discussionmentioning

confidence: 99%

Cardiac Arrest as an Uncommon Manifestation of Late Type A Aortic Dissection Associated with Transcatheter Aortic Valve Replacement

Naar

Vondráková

Krüger

et al. 2023

JCM

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“…Penov et al, 2022, reported the incidence of aortic rupture due to prolonged mechanical CPR with concomitant Impella, which means that even some fatal complications of CPR might be possible [8]. Ho et al, 2022, presented a case of aortic dissection that was most likely an iatrogenic injury due to mechanical cardiopulmonary resuscitation carried out using the Lund University Cardiopulmonary Assist System (LUCAS) [9].…”

Section: Introductionmentioning

confidence: 99%

Cardiopulmonary Resuscitation-Related Head Trauma: A Case Report

Brainova,

Timonov,

Fasova

et al. 2023

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Introduction: In all cases of cardiac arrest, adequate cardiopulmonary resuscitation (CPR) performance is crucial for survival. There are differences between the performances of CPR in pediatric cases compared to CPR in adults. In all cases in which CPR is needed, there is a possibility for the occurrence of CPR-related traumatic injuries. Aims and methods: We used all available forensic examination methods in order to provide objective forensic investigation conclusions and feedback to clinicians. Results: We present an untypical case of head trauma with intracranial bleeding caused via CPR-related traumatic injury. Although it is not connected with the mechanism and genesis of death, it should be noted as being practically casuistic. The child had a severe congenital heart malformation. The surgical team decided that surgery was absolutely necessary. Complications developed in the postoperative period. On the second postoperative day, cardiac arrest occurred, CPR was performed, and the girl survived for 15 minuntil there was a second cardiac arrest. A second CPR was performed, but she died. During the forensic autopsy, with the exception of expected findings, head bruising and intracranial bleeding were registered. Conclusion: The forensic conclusion was that the head trauma was caused accidentally during CPR due to the non-voluntary impact of the head with respect to the background of anticoagulant therapy, which was one possible factor for the massive bleeding.

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A Case of an Aortic Dissection After Mechanical Chest Compression by LUCAS

Cited by 2 publications

References 12 publications

Cardiac Arrest as an Uncommon Manifestation of Late Type A Aortic Dissection Associated with Transcatheter Aortic Valve Replacement

Cardiac Arrest as an Uncommon Manifestation of Late Type A Aortic Dissection Associated with Transcatheter Aortic Valve Replacement

Cardiopulmonary Resuscitation-Related Head Trauma: A Case Report

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