Transcatheter aortic valve replacement as a bridge to surgical aortic valve replacement in a younger patient with extremely high surgical risk.
Koichi MaedaToru KurataniKazuo ShimamuraYu YamadaKoichi TodaYoshiki SawaPublished in: Journal of cardiac surgery (2020)
A 50-year-old man with decompensated aortic stenosis displayed significantly reduced ejection fraction, an ascending aortic aneurysm (55 mm in diameter), and bilateral giant bullae, and was evaluated as having extremely high surgical risk. Therefore, as a bridge to definitive treatment, he simultaneously underwent transcatheter aortic valve replacement (TAVR) and upper left lung lobectomy. His heart function recovered 6 months later and he underwent surgical aortic valve replacement (SAVR) and graft replacement of the ascending aorta. TAVR may serve as a bridge procedure before SAVR for aortic stenosis in younger patients with high surgical risk.
Keyphrases
- aortic stenosis
- transcatheter aortic valve replacement
- aortic valve replacement
- aortic valve
- transcatheter aortic valve implantation
- ejection fraction
- left ventricular
- coronary artery disease
- heart failure
- coronary artery
- pulmonary artery
- case report
- atrial fibrillation
- aortic dissection
- optical coherence tomography
- rectal cancer