eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
Current issue Archive Manuscripts accepted About the journal Editorial board Abstracting and indexing Subscription Contact Instructions for authors
SCImago Journal & Country Rank
1/2021
vol. 17
 
Share:
Share:
more
 
 
abstract:
Image in intervention

Hybrid treatment of a tight aortic stenosis with critical calcified left main disease in a patient with poor left ventricular function

Piotr Kübler
1
,
Grzegorz Onisk
1
,
Maciej Rachwalik
2
,
Roman Przybylski
3
,
Krzysztof Reczuch
1
,
Marcin Protasiewicz
4

1.
Department of Heart Diseases, Wroclaw Medical University, Wroclaw, Poland
2.
Department and Clinic of Cardiac Surgery, Wroclaw Medical University, Wroclaw, Poland
3.
Clinic of Cardiac Transplantation and Mechanical Circulatory Support, Wroclaw Medical University, Wroclaw, Poland
4.
Cardiology Department, Wroclaw Medical University, Wroclaw, Poland
Adv Interv Cardiol 2021; 17, 1 (63): 122–123
Online publish date: 2021/03/27
View full text
Get citation
ENW
EndNote
BIB
JabRef, Mendeley
RIS
Papers, Reference Manager, RefWorks, Zotero
AMA
APA
Chicago
Harvard
MLA
Vancouver
 
We present a case of a 74-year old woman with a history of diabetes, hypertension, carotid endarterectomy and stenting of iliac arteries because of peripheral artery disease (PAD), admitted with the recognition of non ST-segment elevation myocardial infarction. Immediate coronary angiography revealed multivessel disease with critical calcified left main (LM) stenosis (Figure 1 A). Additionally, tight aortic stenosis (AS) with reduced left ventricle ejection fraction (LVEF 40%) was diagnosed. Unfortunately, after transfer to the intensive care unit pulmonary oedema occurred, successfully treated with pharmacotherapy. An urgent heart team meeting was held and the patient was disqualified from open-heart surgery because of comorbidities and high risk (EuroSCORE II – 17%). We decided to perform a hybrid procedure, including one stage balloon aortic valvuloplasty (BAV), percutaneous coronary intervention (PCI) and finally transcatheter aortic valve implantation (TAVI). Moreover, computed tomography revealed highly calcified aortic annulus and due to PAD only an alternative approach for TAVI was possible (Figure 1 B corner).
Quick links
© 2021 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.
PayU - płatności internetowe