TAVI between a rock and a hard place in a transplanted heart
TAVI between a rock and a hard place in a transplanted heart
We describe a 61-year-old male patient at our institution who was being reviewed by the heart team for consideration of transcatheter aortic valve intervention. Gated cardiac computed tomography revealed extensive eccentric calcification of the left ventricular outflow tract (LVOT) extending into the mitral valve leaflet and a large aortic annulus (33 mm; mean annular diameter/area, 854 mmsup2;). This is larger than all recommended manufacturer annular size limits, although observational data support the use of both Edwards Sapien 3 and Medtronic Evolut R in such annuli.
E576-E577
Ezad, Saad M.
74ac8534-bcf5-44fc-9328-fef12421b0c1
Curzen, Nick
70f3ea49-51b1-418f-8e56-8210aef1abf4
Abbas, Ausami
ed952372-ac16-4e81-a3c8-9293254d5d0d
Rawlins, John
3a6bf8da-6e9e-45b3-b9e6-64e8068db670
1 July 2022
Ezad, Saad M.
74ac8534-bcf5-44fc-9328-fef12421b0c1
Curzen, Nick
70f3ea49-51b1-418f-8e56-8210aef1abf4
Abbas, Ausami
ed952372-ac16-4e81-a3c8-9293254d5d0d
Rawlins, John
3a6bf8da-6e9e-45b3-b9e6-64e8068db670
Ezad, Saad M., Curzen, Nick, Abbas, Ausami and Rawlins, John
(2022)
TAVI between a rock and a hard place in a transplanted heart.
Journal of Invasive Cardiology, 34 (7), .
(doi:10.25270/jic/22.00029).
Abstract
We describe a 61-year-old male patient at our institution who was being reviewed by the heart team for consideration of transcatheter aortic valve intervention. Gated cardiac computed tomography revealed extensive eccentric calcification of the left ventricular outflow tract (LVOT) extending into the mitral valve leaflet and a large aortic annulus (33 mm; mean annular diameter/area, 854 mmsup2;). This is larger than all recommended manufacturer annular size limits, although observational data support the use of both Edwards Sapien 3 and Medtronic Evolut R in such annuli.
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Accepted/In Press date: 17 March 2022
Published date: 1 July 2022
Identifiers
Local EPrints ID: 492650
URI: http://eprints.soton.ac.uk/id/eprint/492650
ISSN: 1042-3931
PURE UUID: 8432e2b7-25bf-498f-8f67-6cdf92e3fdea
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Date deposited: 09 Aug 2024 16:32
Last modified: 10 Aug 2024 01:40
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Author:
Saad M. Ezad
Author:
Ausami Abbas
Author:
John Rawlins
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