Když selžou dvě chlopně, přichází na řadu třetí (transkatétrová implantace chlopeň do chlopně)
| Title in English | When two valves fail, it’s time for a third one (transcatheter valve-in-valve implantation) |
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| Authors | |
| Year of publication | 2023 |
| Type | Article in Periodical |
| Magazine / Source | Intervenční a akutní kardiologie |
| MU Faculty or unit | |
| Citation | |
| Web | https://www.solen.cz/artkey/kar-202303-0003_kdyz_selzou_dve_chlopne_prichazi_na_radu_treti_transkatetrova_implantace_chlopen_do_chlopne.php |
| Doi | http://dx.doi.org/10.36290/kar.2023.015 |
| Keywords | aortic stenosis; transcatheter aortic valve implantation; echocardiography |
| Description | This case report depicts a 90-year-old patient with exertional dyspnea of NYHA class III following bioprosthetic replacement of the aortic valve (Sorin Perceval S sutureless). She developed a relatively early (6 years), highly significant (AVA 0.3 cm2) and symptomatic degeneration of bioprosthesis with severe left ventricular depression and a left ventricular ejection fraction of 25%. At a heart center, the patient underwent a valve-in-valve transcatheter aortic valve implantation (ViV-TAVI) procedure using the 23-mm CoreValve Evolut R valve, resulting in an early optimal tonometric, angiographic, echocardiographic and clinical effect. The surgery and the course of hospitalization were without major complications. A favorable clinical outcome persists even at 18 months of follow-up. |
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