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CASE 01: TAVI ViV Procedure -Dr.Oscar MENDIZ
This procedure concerns 77 years old female , she is heavy smoker with HBP COPD and depression,
she had undergone a SAV 7 years ago with St.jude N:21 , she presents progressive dyspnea with bioprosthesis dysfunction.
Strategy Plan
Imaging studies
- Echo: LVEF:65%, Bioprosthesis dysfunction AVA:0.4cm² , Max Gradient:93mmhg, Mean Gradient:56mmhg, Vmax:4.8m/s.Pannus
- angiography: No obstructive CAD, Aortic Area:0.8cm², Gradient: 43/32mmhg
Clinical indication
- Symptomatic aortic stenosis with degenerated bioprosthesis ( EUROSCOREII:3.5, EUROSCORE Log :22.7% STS Score:4.8%).
- Heart Team decision: TAVI.
Planned Procedure
- Transfemoral TAVI with Corevalve
Shooting date : 2018-02-24
Last update : 2018-07-18
Last update : 2018-07-18
