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CASE 01: Simultaneous Tavi and Mitral ViV Procedures-Dr.Georg NICKENIG -Dr.Grube EBERHARD- Dr.Nikos WERNER
This procedure concerns a 74 years old female , with medical history of CABG and mitral valve replacement, Atrial fibrillation,Chronic Kidney disease on hemodialysis, also COPD II
Presenting Heart failure III NYHA with severe aortic stenosis and degenerated mitral bioprosthesis.
Strategy Plan
Imaging studies
- Echo: LVEF:68%,Moderate MS : MG:9mmhg , 1,4cm²(PHT), Severe low flow low gradient AS : AVA:0.7cm² , MG:25mmhg, SVi:28ml:m², ARII: PHT:300ms ,LVEDD:42mm
- Coronary angiography: Two vessels disease.
- Cardiac CT: AV:Area :370mm², Primeter:37.3mm,calculated Neo-LVOT:227mm² ; MV:CE perimount 27mm(real ID:25mm), Area:430mm²
Clinical indication
- Severe aortic stenosis with degenerated mitral bioprosthesis ( Log EUROSCORE:48.42% , STS Score:19,8%).
- Heart Team decision
Planned Procedure
- Transfemoral TAVI with Evolut Pro 29mm
- Mitral ViV with Edwards Sapien 3 (26mm)
CASE 02: Left Circumflexe aneuvrysm -Dr.Georg NICKENIG -Dr.Grube EBERHARD- Dr.Nikos WERNER
80 years old male , medical history CAD with RCA stenting (2018) , presenting stable angina III and Lcx aneuvrysm.
Strategy Plan
Imaging studies
- Echo: preserved LVEF,
- Coronary angiography: Lcx aneuvrysm
- Cardiac CT: 3D pattern and modelling
Clinical indication
- stable angina
Planned Procedure
- Aneuvrysm exclusion using coils and regularDES implantation.
Shooting date : 2018-02-23
Last update : 2018-08-08
Last update : 2018-08-08
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