Overcoming the Obstacle of Suicide Left Ventricle After Transcatheter Aortic Valve Replacement Phenomenon

Koliastasis, Leonidas; Drakopoulou, Maria; Latsios, George; Apostolos, Anastasios; Ktenopoulos, Nikolaos; Katsaros, Odysseas; Kachrimanidis, Ioannis; Synetos, Andreas; Tsioufis, Konstantinos; Toutouzas, Konstantinos

doi:10.1016/j.jaccas.2023.102065

JACC: Case Reports

2023

DOI: 10.1016/j.jaccas.2023.102065

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Overcoming the Obstacle of Suicide Left Ventricle After Transcatheter Aortic Valve Replacement Phenomenon

Leonidas Koliastasis,

Maria Drakopoulou,

George Latsios

et al.

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Cited by 3 publications

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ECMO as rescue therapy in TAVI-induced cardiogenic shock: A case of suicide left ventricle

Rojas-Velasco,

Aguilar-López,

Toledo-Elías

et al. 2024

Cirugía Cardiovascular

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ECMO as rescue therapy in TAVI-induced cardiogenic shock: A case of suicide left ventricle

Rojas-Velasco,

Aguilar-López,

Toledo-Elías

et al. 2024

Cirugía Cardiovascular

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Exercise-induced intraventricular pressure gradient may be the cause of sudden cardiac death in patients with unknown cardiac disease

Cotrim,

Café,

Cordeiro

et al. 2025

Medical Hypotheses

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Silent Threats of the Heart: A Case Series and Narrative Review on Suicide Left Ventricle Post-Aortic Valve Replacement in Patients with Dynamic LVOT Obstruction and Aortic Stenosis

Romano,

D’Andrea,

Cozac

et al. 2024

JCM

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Aortic stenosis (AS) is the most prevalent valvular heart disease in Europe and North America, with transcatheter aortic valve implantation (TAVI) revolutionizing its management. Hypertrophic left ventricle (HLV) frequently coexists with AS, complicating treatment due to the associated risk of left ventricular outflow tract (LVOT) obstruction, heart failure, and sudden death. A rare but severe post-aortic valve replacement (AVR) complication, termed “suicide left ventricle” (SLV), has emerged, necessitating further study. This report synthesizes current literature on SLV, its pathophysiology, and management strategies, alongside four patient case studies. The patients aged 79–87 years, underwent AVR for symptomatic AS with HLV. Post-AVR, all experienced severe complications, including dynamicLVOT gradients, systolic anterior motion (SAM) of the mitral valve, and severe hypotension, leading to death in two cases. One patient survived following surgical aortic valve replacement (SAVR) with surgical myectomy. One patient survived after TAVI. These cases highlight the critical importance of multidisciplinary Heart Team evaluations and personalized treatment plans in managing SLV. Despite advancements in AVR, SLV remains a complex, life-threatening condition, requiring an exhaustive and multifaceted approach for optimal patient outcomes. This report offers valuable insights into SLV occurrence and management from a clinical perspective.

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Overcoming the Obstacle of Suicide Left Ventricle After Transcatheter Aortic Valve Replacement Phenomenon

Cited by 3 publications

References 7 publications

ECMO as rescue therapy in TAVI-induced cardiogenic shock: A case of suicide left ventricle

ECMO as rescue therapy in TAVI-induced cardiogenic shock: A case of suicide left ventricle

Exercise-induced intraventricular pressure gradient may be the cause of sudden cardiac death in patients with unknown cardiac disease

Silent Threats of the Heart: A Case Series and Narrative Review on Suicide Left Ventricle Post-Aortic Valve Replacement in Patients with Dynamic LVOT Obstruction and Aortic Stenosis

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