CoreValve TAVR (31mm) via Percutaneous Femoral Access – June 2015

An 86 year-old male presented with progressive shortness of breath – NYHA class III, with a PMH of atrial fibrillation, TIA, s/p PPM in 2012, s/p DES (Mid LAD) & CB PTCA of D1. TTE revealed severe AS, peak/mean aortic gradient = 70/42 mmHg, AVA = 0.6 sq cm, aortic peak velocity = 4.1 m/sec and LVEF 68%. CT angio showed minimum diameters of 0.8 x 0.8 cm for right and 0.9 x 0.8 cm for the left common femoral arteries and aortic annulus of 2.2 x 3.0 cm (average 2.6). The STS risk mortality is 4.63 and the Logistic Euroscore mortality is 16.60. Patient was determined to be high risk for surgical AVR due to advanced age, frailty and pulmonary hypertension. Patient is now planned for CoreValve TAVR (31mm) via percutaneous femoral access under conscious sedation.

1:00:56

Comments

Leave a Reply

Your email address will not be published.*


Warning: Invalid argument supplied for foreach() in /home/468933.cloudwaysapps.com/wrezgzxbge/public_html/wp-content/plugins/constant-contact-forms/includes/class-settings.php on line 1080

Yes, I would like to receive emails from Mount Sinai Hospital. Sign me up!


By submitting this form, you are consenting to receive marketing emails from: Mount Sinai Hospital, One Gustave L. Levy Place, Box, New York, NY, 10029, https://ccclivecases.org. You can revoke your consent to receive emails at any time by using the SafeUnsubscribe® link, found at the bottom of every email. Emails are serviced by Constant Contact