Aortic Valve Replacement: Hemodynamic Consequences and Impact on Coronary Perfusion Pressure

Faraz Mahmood; Aidan Sharkey; Feroze Mahmood; Raghav Seth; David Liu; Roger Laham

doi:10.1016/j.jaccas.2024.102278

Aortic Valve Replacement: Hemodynamic Consequences and Impact on Coronary Perfusion Pressure

JACC Case Rep. 2024 Apr 17;29(8):102278. doi: 10.1016/j.jaccas.2024.102278.

Authors

Faraz Mahmood¹, Aidan Sharkey¹, Feroze Mahmood¹, Raghav Seth², David Liu³, Roger Laham⁴

Affiliations

¹ Department of Anesthesia Critical Care and Pain Management, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
² Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
³ Division of Cardiac Surgery, Roberta L. Hines Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
⁴ Division of Cardiology, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.

Abstract

Implantation of prosthetic heart valves may result in both early and late complications. Early complications are usually structural and can have significant hemodynamic consequences. In this clinical vignette, we highlight how malposition of a newly implanted aortic valve resulted in alterations of coronary perfusion pressure physiology and subsequent significant hemodynamic effects.

Keywords: aortic valve; coronary artery; coronary perfusion pressure; echocardiography.