Late Clinical Presentation of Prosthesis-Patient Mismatch Following Transcatheter Aortic Valve Replacement.

Autor: Kagemoto Y; Department of Anesthesiology and Perioperative, Medicine, Tufts Medical Center, Boston, MA., Weintraub A; Department of Medicine, Division of Cardiology, Tufts Medical Center, Boston, MA., Pandian NG; Department of Medicine, Division of Cardiology, Tufts Medical Center, Boston, MA; Hoag Heart Valve Center, Hoag Hospital, Newport Beach, CA., Rastegar H; Division of Cardiac Surgery, Tufts Medical Center, Boston, MA., Halin N; Department of Radiology, Tufts Medical Center, Boston, MA., Cobey FC; Department of Anesthesiology and Perioperative, Medicine, Tufts Medical Center, Boston, MA. Electronic address: fcobey@tuftsmedicalcenter.org.
Jazyk: angličtina
Zdroj: Journal of cardiothoracic and vascular anesthesia [J Cardiothorac Vasc Anesth] 2019 Jan; Vol. 33 (1), pp. 245-248. Date of Electronic Publication: 2018 Mar 06.
DOI: 10.1053/j.jvca.2018.03.005
Abstrakt: Prosthesis-patient mismatch (PPM) is relatively common after aortic valve replacement (AVR) and generally is associated with reduced regression of left ventricular (LV) mass. PPM after valve-in-valve transcatheter aortic valve replacement (TAVR) was reported to be 38%. PPM generally is manifested clinically by dyspnea and echocardiographically by high transvalvular gradients. In this E-Challenge, the authors will review a case of a late clinical presentation of PPM 1-year following a valve-in-valve TAVR.
(Copyright © 2018 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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