CCC Live Cases > Live Relays > Live Relay – Valve-in-Valve TAVR for degenerated Magna Valve using Evolut Fx+ Valve (10.10.2024)

Live Relay – Valve-in-Valve TAVR for degenerated Magna Valve using Evolut Fx+ Valve (10.10.2024)

80 yr presented for dental clearance and was incidentally found to have elevated Tnl. During TTE developed bradycardia, dyspnea, hypotension and abdominal pain

PMH: Severe bicuspid AS s/p Bioprosthetic AVR with 21mm Magna valve in 2007, HTN, HLD, GERD, paroxysmal atrial Flutter, CAD s/p PCI to LAD/D1 (09/03/2021) TTE (9/18/24): Severe bioprosthetic AS (PG/MG/PV/AVA: 64/41/4.0/0.92) with no
AI/PVL, minimal MR, minimal TR and EF 47%

CTA: 9/22/24 with HALT & restricted motion of the posterior bioprosthetic leaflet

Medications: Aspirin, Clopidogrel, Rosuvastatin, Evolocumab, Micardis,
Metoprolol XL, Furosemide

Labs: Hgb 13.5, PLT 157K, Cr 0.93, INR 1.1

EKG: Sinus rhythm with PACs, RBBB

Cath (9/18/2024): Non-Obstructive CAD

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