1. Transcatheter aortic valve replacement as a bridge to surgical aortic valve replacement in a younger patient with extremely high surgical risk
- Author
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Yu Yamada, Koichi Toda, Kazuo Shimamura, Koichi Maeda, Toru Kuratani, and Yoshiki Sawa
- Subjects
Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Ejection fraction ,business.industry ,medicine.medical_treatment ,030204 cardiovascular system & hematology ,medicine.disease ,Surgery ,03 medical and health sciences ,Aortic aneurysm ,Stenosis ,0302 clinical medicine ,Bicuspid aortic valve ,Bridge (graph theory) ,030228 respiratory system ,Aortic valve replacement ,Valve replacement ,medicine.artery ,Ascending aorta ,cardiovascular system ,medicine ,Cardiology and Cardiovascular Medicine ,business - Abstract
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.
- Published
- 2020