• Peter Pollak, D Scott Lim, and John Kern.
• Department of Internal Medicine, University of Virginia Health System, Rochester, Minnesota.
• Catheter Cardiovasc Interv. 2014 Jan 1; 83 (1): E141-5.

AbstractAcute hemodynamic compromise due to severe aortic regurgitation remains a difficult problem. The optimal management strategy and timing of surgery continues to evolve as new technologies become available. Here, we report the case of a young woman presenting with severe regurgitation of an aortic homograft who developed precipitous cardiogenic shock and multi-organ dysfunction. Her mortality risk with emergent surgery was prohibitive, and no percutaneous valve-in-valve device was available. We stabilized her condition by placing an Amplatz-type Atrial Septal Defect (ASD) occluder across her aortic valve in conjunction with a percutaneous left ventricular assist device as a bridge to surgical valve replacement. She went on to a successful surgery and recovered well.Copyright © 2013 Wiley Periodicals, Inc.

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