Transapical Aortic Valve Implantation in a Patient With Severe Aortic Stenosis and Pott Disease
| العنوان: | Transapical Aortic Valve Implantation in a Patient With Severe Aortic Stenosis and Pott Disease |
|---|---|
| المؤلفون: | Josep Rodés-Cabau, Philippe Pibarot, Olivier F. Bertrand, Jean-Luc Gingras, Jerôme Lemieux, Daniel Doyle, Rodrigo Bagur, Sébastien Bergeron, Eric Dumont, Robert De Larochellière |
| المصدر: | Circulation. 120 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2009. |
| سنة النشر: | 2009 |
| مصطلحات موضوعية: | Aortic valve, medicine.medical_specialty, Aortography, Ejection fraction, medicine.diagnostic_test, business.industry, medicine.disease, Left ventricular hypertrophy, Stenosis, medicine.anatomical_structure, Aortic valve replacement, Physiology (medical), Internal medicine, medicine.artery, cardiovascular system, Ventricular pressure, medicine, Cardiology, Thoracic aorta, Radiology, Cardiology and Cardiovascular Medicine, business |
| الوصف: | A 72-year-old woman was admitted to our hospital with the diagnosis of pulmonary edema. She had a history of Pott disease since childhood and presented with extremely severe kyphoscoliosis and thorax deformation (Figures 1 and 2⇓) leading to a severe restrictive pulmonary syndrome requiring domiciliary oxygen therapy. ECG showed sinus rhythm and left ventricular hypertrophy (Figure 3). Doppler echocardiography demonstrated severe calcific aortic stenosis (Movie I in the online-only Data Supplement), with a mean gradient of 64 mm Hg, aortic valve area of 0.50 cm2, and left ventricular ejection fraction of 74%. Coronary angiography showed the absence of coronary artery disease. The patient was considered unsuitable for conventional surgical aortic valve replacement because of her severe thorax deformation and pulmonary disease, and she was then evaluated for transcatheter aortic valve implantation technique.1 Three-dimensional computed tomography showed an extreme thoracic aorta tortuosity (Figure 4), precluding a retrograde approach through the femoral artery, and transapical aortic valve implantation was then proposed. Figure 1. Lateral view … |
| تدمد: | 1524-4539 0009-7322 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::9108b23730d597272b07e03719217369 https://doi.org/10.1161/circulationaha.109.850651 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi...........9108b23730d597272b07e03719217369 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15244539 00097322 |
|---|