Case Reports
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Journal of Structural Heart Disease, August 2017, Volume 3, Issue 4:115-118
DOI: 10.12945/j.jshd.2017.015.16
Transcatheter Aortic Valve Replacement for Inoperable Severe Rheumatic Aortic Stenosis with Prior Mitral Valve Prosthesis
Imad A. Alhaddad, MD, FACC, FACP
The Cardiovascular Center, Jordan Hospital, Amman, Jordan
Abstract
Transcatheter aortic valve replacement (TAVR) is traditionally indicated for calcific aortic stenosis. Rheumatic aortic valve disease is treated surgically due to the younger age of patients and a lack of significant calcification that can anchor trans-catheter valves. However, severe comorbidities may increase surgical risk, necessitating less invasive therapeutic modalities. Here, we present the first case report of severe rheumatic aortic stenosis with prior mechanical mitral valve prosthesis and liver cirrhosis that was successfully treated by TAVR.
Cite this article as: Alhaddad IA. Transcatheter Aortic Valve Replacement for Inoperable Severe Rheumatic Aortic Stenosis with Prior Mitral Valve Prosthesis. Structural Heart Disease 2017;3(4):115-118. DOI: 10.12945/j.jshd.2017.015.16
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Case Reports
Journal of Structural Heart Disease, August 2017, Volume 3, Issue 4:115-118
DOI: 10.12945/j.jshd.2017.015.16
Transcatheter Aortic Valve Replacement for Inoperable Severe Rheumatic Aortic Stenosis with Prior Mitral Valve Prosthesis
Imad A. Alhaddad, MD, FACC, FACP
The Cardiovascular Center, Jordan Hospital, Amman, Jordan
Abstract
Transcatheter aortic valve replacement (TAVR) is traditionally indicated for calcific aortic stenosis. Rheumatic aortic valve disease is treated surgically due to the younger age of patients and a lack of significant calcification that can anchor trans-catheter valves. However, severe comorbidities may increase surgical risk, necessitating less invasive therapeutic modalities. Here, we present the first case report of severe rheumatic aortic stenosis with prior mechanical mitral valve prosthesis and liver cirrhosis that was successfully treated by TAVR.
Supplemental Media
Video 1: Valve positioning prior to implantation.
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Video 2: Aortic valve implantation during rapid pacing.
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Video 3: Post trans-catheter aortic valve replacement angiography showing well-positioned valve without significant aortic regurgitation.
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Cite this article as: Alhaddad IA. Transcatheter Aortic Valve Replacement for Inoperable Severe Rheumatic Aortic Stenosis with Prior Mitral Valve Prosthesis. Structural Heart Disease 2017;3(4):115-118. DOI: 10.12945/j.jshd.2017.015.16
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