Transcatheter aortic valve implantation for severe aortic regurgitation in a patient with end-stage respiratory failure

Autor: Aleksandra Cherneva, Zoran Stankov, Naidenka Zlatareva, Iveta Tasheva, Georgi Dobrev, Galina Georgieva, Ivo Petrov
Jazyk: Bulgarian<br />English
Rok vydání: 2020
Předmět:
Zdroj: Българска кардиология, Vol 26, Iss 1, Pp 58-70 (2020)
Druh dokumentu: article
ISSN: 2683-1015
DOI: 10.3897/bgcardio.26.e53002
Popis: We report a case of a high-risk 73-year–old patient with a combined aortic valve disease with predominant severe, symptomatic aortic regurgitation and a history of an end-stage respiratory failure with prohibitive surgical risk who was successfully treated using a minimalist approach to implant off-label а self-expandable Medtronic Evolut R prosthesis. This case report demonstrates that the self-expandable prosthesis Medtronic Evolut R might be implanted without tissue damage and migration in a moderate-calcified tricuspid aortic valve with predominant regurgitation and mild stenosis with satisfactory hemodynamic results and improvement in functional class heart failure in a patient with concomitant severe respiratory failure.
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