A 92-year-old woman with normal coronary arteriesand normal left ventricular ejection fraction pre-sented with acute pulmonary edema due to severeaortic valve stenosis (mean gradient 63 mm Hg; area0.8 cm2). According to an STS score of 8.7% and afterurgent heart team evaluation, the patient wasscheduled for immediate transfemoral aortic valvereplacement (TAVR). The aortic valve was crossedwith an 0.035-inch wire, but it was not possible toadvance an Amplatz Left catheter (AL) into the leftventricle in order to place a stiff wire (
Lithotripsy-assisted aortic valvuloplasty during TAVR / Sardella, G.; Salvi, N.; Bruno, E.; Colantonio, R.; Mancone, M.. - In: JACC: CARDIOVASCULAR INTERVENTIONS. - ISSN 1936-8798. - 12:15(2019), pp. e131-e132. [10.1016/j.jcin.2019.05.018]
Lithotripsy-assisted aortic valvuloplasty during TAVR
Sardella G.
;Salvi N.;Bruno E.;Colantonio R.;Mancone M.
2019
Abstract
A 92-year-old woman with normal coronary arteriesand normal left ventricular ejection fraction pre-sented with acute pulmonary edema due to severeaortic valve stenosis (mean gradient 63 mm Hg; area0.8 cm2). According to an STS score of 8.7% and afterurgent heart team evaluation, the patient wasscheduled for immediate transfemoral aortic valvereplacement (TAVR). The aortic valve was crossedwith an 0.035-inch wire, but it was not possible toadvance an Amplatz Left catheter (AL) into the leftventricle in order to place a stiff wire (File | Dimensione | Formato | |
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