Consecutive Emergency Carotid Artery Stenting and Transcatheter Aortic Valve Replacement in a Patient With Cardiogenic Shock: A Case Report.
Max Groche, Claudio Silwanis, Clemens Steinwender et al.
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Case in brief
An 83-year-old female with severe aortic stenosis and cardiogenic shock presented with severe right internal carotid artery stenosis and left internal carotid artery occlusion. Despite medical management, her condition worsened, necessitating a combined approach of carotid stenting followed by transfemoral transcatheter aortic valve replacement. Post-procedure, she stabilized, underwent renal replacement therapy, and was discharged 14 days later with improved renal function and hemodynamics.
Diagnostic / clinical pearl
This case highlights the potential for combined carotid stenting and transcatheter aortic valve replacement as a life-saving intervention in high-risk patients with severe aortic stenosis and concurrent carotid artery disease.
Why it matters
The successful outcome underscores the importance of a multidisciplinary approach in managing complex cases of cardiogenic shock with significant comorbidities.