Surgical Replacement After Transcatheter Aortic Valve Replacement Due to Device Distortion

A 57-year-old male presented to clinic with a history of moderate aortic stenosis (AS), diabetes mellitus (A1c 8.7), hypertension, hyperlipidemia, tobacco abuse, and chronic obstructive pulmonary disease. Symptoms included worsening shortness of breath and lower extremity edema. Echocardiogram revealed worsening AS with a mean gradient of 51 mm Hg, ejection fraction (EF) of 10%, and severe aortic calcification with ascending dilation. Aortic valve replacement was considered given his estimated mortality risk was 1.287%.

Source: Seminars in Thoracic and Cardiovascular Surgery - July 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Ryan J. Vela, Frans Van Wagenberg, Subhash Banerjee, Matthias Peltz, Lynn C. Huffman Tags: ADULT – Case Report Source Type: research