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
2/2021
vol. 17
 
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abstract:
Image in intervention

Simultaneous valve-in-valve procedure and life-saving coronary angioplasty in a patient with low coronary artery ostia

Michał Walczewski
1
,
Aleksandra Gąsecka
1
,
Piotr Pęczek
1
,
Michał Marchel
1
,
Bartosz Rymuza
1
,
Janusz Kochman
1

1.
1st Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland
Adv Interv Cardiol 2021; 17, 2 (64): 234–235
Online publish date: 2021/07/09
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A 75-year-old woman with hypertension, diabetes mellitus type 2, permanent atrial fibrillation, and chronic kidney disease was admitted to the hospital due to exacerbation of chronic heart failure, vertigo, and syncopal events. Transoesophageal and transthoracic echocardiography revealed severe stenosis and calcification of the prosthetic aortic valve (Trifecta 21 mm), mid-range left ventricle ejection fraction (LVEF) of 49%, moderate insufficiency of the mitral valve, and tricuspid insufficiency with a high probability of pulmonary hypertension. Regarding multiple comorbidities and a high peri-operative risk (logistic EuroScore 48.6%), valve-in-valve (ViV) transcatheter aortic valve implantation (TAVI) was proposed by the heart team.
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