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Three-dimensional transoesophageal echocardiography guidance was used to assist annulus sizing. An emergency transcatheter aortic valve replacement (eTAVI) was carried out 5\u2009days into admission with a 34\u2009mm Core Valve Evolut Pro valve with a no contrast technique. The patient\u2019s blood pressure and urine output improved and no procedural complications were encountered. He was discharged after 21 days and has remained well subsequently. This case highlights the utility of eTAVI and demonstrates the feasibility of a no contrast approach.<\/jats:p>","DOI":"10.1136\/bcr-2020-239003","type":"journal-article","created":{"date-parts":[[2021,4,16]],"date-time":"2021-04-16T12:42:19Z","timestamp":1618576939000},"page":"e239003","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Emergency TAVI in cardiogenic shock and cardiorenal syndrome secondary to severe bicuspid aortic stenosis"],"prefix":"10.1136","volume":"14","author":[{"given":"Luke","family":"Byrne","sequence":"first","affiliation":[{"name":"Cardiology, St James Hospital, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Wheen","sequence":"additional","affiliation":[{"name":"Cardiology, St James Hospital, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"O'Connor","sequence":"additional","affiliation":[{"name":"Cardiology, St James Hospital, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,4,16]]},"reference":[{"key":"2025082800455810000_14.4.e239003.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69208-8"},{"key":"2025082800455810000_14.4.e239003.2","doi-asserted-by":"crossref","first-page":"1696","DOI":"10.1056\/NEJMoa1202277","article-title":"Transcatheter aortic-valve replacement for inoperable severe aortic stenosis","volume":"366","author":"Makkar","year":"2012","journal-title":"N Engl J Med Overseas Ed"},{"key":"2025082800455810000_14.4.e239003.3","doi-asserted-by":"crossref","first-page":"1609","DOI":"10.1056\/NEJMoa1514616","article-title":"Transcatheter or surgical aortic-valve replacement in intermediate-risk patients","volume":"374","author":"Leon","year":"2016","journal-title":"N Engl J Med Overseas Ed"},{"key":"2025082800455810000_14.4.e239003.4","doi-asserted-by":"crossref","first-page":"1695","DOI":"10.1056\/NEJMoa1814052","article-title":"Transcatheter aortic-valve replacement with a balloon-expandable valve in low-risk patients","volume":"380","author":"Mack","year":"2019","journal-title":"N Engl J Med Overseas Ed"},{"key":"2025082800455810000_14.4.e239003.5","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1016\/j.ijcard.2016.06.159","article-title":"Sapien 3 versus Sapien XT prosthetic valves in transcatheter aortic valve implantation: a meta-analysis","volume":"220","author":"Ando","year":"2016","journal-title":"Int J Cardiol"},{"key":"2025082800455810000_14.4.e239003.6","doi-asserted-by":"crossref","first-page":"226","DOI":"10.2459\/JCM.0000000000000757","article-title":"Transcathether aortic valve implantation with the new repositionable self-expandable medtronic Evolut R vs. CoreValve system: evidence on the benefit of a meta-analytical approach","volume":"20","author":"Kowalewski","year":"2019","journal-title":"J Cardiovasc Med"},{"key":"2025082800455810000_14.4.e239003.7","first-page":"3893","article-title":"Safety and efficacy of self-expandable Evolut R vs. balloon-expandable Sapien 3 valves for transcatheter aortic valve implantation: a systematic review and meta-analysis","volume":"18","author":"He","year":"2019","journal-title":"Exp Ther Med"},{"key":"2025082800455810000_14.4.e239003.8","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2016-311037"},{"key":"2025082800455810000_14.4.e239003.9","doi-asserted-by":"crossref","first-page":"e56","DOI":"10.1016\/j.crvasa.2017.04.004","article-title":"Transcatheter aortic valve implantation in patient with cardiogenic shock","volume":"60","author":"Butta","year":"2018","journal-title":"Cor Vasa"},{"key":"2025082800455810000_14.4.e239003.10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2013.05.015"},{"key":"2025082800455810000_14.4.e239003.11","doi-asserted-by":"publisher","DOI":"10.1016\/S0195-668X(03)00201-X"},{"key":"2025082800455810000_14.4.e239003.12","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1016\/j.jacc.2017.03.011","article-title":"AHA\/ACC focused update of the 2014 AHA\/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology\/American heart association Task force on clinical practice guidelines","volume":"2","author":"Nishimura","year":"2017","journal-title":"J Am Coll Cardiol"},{"key":"2025082800455810000_14.4.e239003.13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.02.556"},{"key":"2025082800455810000_14.4.e239003.14","doi-asserted-by":"crossref","unstructured":"Leon M , Smith C , Mack M . 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