Hybrid treatment of a tight aortic stenosis with critical calcified left main disease in a patient with poor left ventricular function

We present a case of a 74-year old woman with a history of diabetes, hypertension, carotid endarterectomy and stenting of iliac arteries because of peripheral artery disease (PAD), admitted with the recognition of non ST-segment elevation myocardial infarction. Immediate coronary angiography reveale...

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Autores principales:	Piotr Kübler, Grzegorz Onisk, Maciej Rachwalik, Roman Przybylski, Krzysztof Reczuch, Marcin Protasiewicz
Formato:	article
Lenguaje:	EN
Publicado:	Termedia Publishing House 2021
Materias:	Medicine R
Acceso en línea:	https://doaj.org/article/00f315a82d4b481c80f96dcc072760db
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spelling	oai:doaj.org-article:00f315a82d4b481c80f96dcc072760db2021-12-02T18:55:08ZHybrid treatment of a tight aortic stenosis with critical calcified left main disease in a patient with poor left ventricular function1734-93381897-429510.5114/aic.2021.104781https://doaj.org/article/00f315a82d4b481c80f96dcc072760db2021-03-01T00:00:00Zhttps://www.termedia.pl/Hybrid-treatment-of-a-tight-aortic-stenosis-with-critical-calcified-left-main-disease-in-a-patient-with-poor-left-ventricular-function,35,43650,1,1.htmlhttps://doaj.org/toc/1734-9338https://doaj.org/toc/1897-4295We present a case of a 74-year old woman with a history of diabetes, hypertension, carotid endarterectomy and stenting of iliac arteries because of peripheral artery disease (PAD), admitted with the recognition of non ST-segment elevation myocardial infarction. Immediate coronary angiography revealed multivessel disease with critical calcified left main (LM) stenosis (Figure 1 A). Additionally, tight aortic stenosis (AS) with reduced left ventricle ejection fraction (LVEF 40%) was diagnosed. Unfortunately, after transfer to the intensive care unit pulmonary oedema occurred, successfully treated with pharmacotherapy. An urgent heart team meeting was held and the patient was disqualified from open-heart surgery because of comorbidities and high risk (EuroSCORE II – 17%). We decided to perform a hybrid procedure, including one stage balloon aortic valvuloplasty (BAV), percutaneous coronary intervention (PCI) and finally transcatheter aortic valve implantation (TAVI). Moreover, computed tomography revealed highly calcified aortic annulus and due to PAD only an alternative approach for TAVI was possible (Figure 1 B corner).Piotr KüblerGrzegorz OniskMaciej RachwalikRoman PrzybylskiKrzysztof ReczuchMarcin ProtasiewiczTermedia Publishing HousearticleMedicineRENAdvances in Interventional Cardiology, Vol 17, Iss 1, Pp 122-123 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R
spellingShingle	Medicine R Piotr Kübler Grzegorz Onisk Maciej Rachwalik Roman Przybylski Krzysztof Reczuch Marcin Protasiewicz Hybrid treatment of a tight aortic stenosis with critical calcified left main disease in a patient with poor left ventricular function
description	We present a case of a 74-year old woman with a history of diabetes, hypertension, carotid endarterectomy and stenting of iliac arteries because of peripheral artery disease (PAD), admitted with the recognition of non ST-segment elevation myocardial infarction. Immediate coronary angiography revealed multivessel disease with critical calcified left main (LM) stenosis (Figure 1 A). Additionally, tight aortic stenosis (AS) with reduced left ventricle ejection fraction (LVEF 40%) was diagnosed. Unfortunately, after transfer to the intensive care unit pulmonary oedema occurred, successfully treated with pharmacotherapy. An urgent heart team meeting was held and the patient was disqualified from open-heart surgery because of comorbidities and high risk (EuroSCORE II – 17%). We decided to perform a hybrid procedure, including one stage balloon aortic valvuloplasty (BAV), percutaneous coronary intervention (PCI) and finally transcatheter aortic valve implantation (TAVI). Moreover, computed tomography revealed highly calcified aortic annulus and due to PAD only an alternative approach for TAVI was possible (Figure 1 B corner).
format	article
author	Piotr Kübler Grzegorz Onisk Maciej Rachwalik Roman Przybylski Krzysztof Reczuch Marcin Protasiewicz
author_facet	Piotr Kübler Grzegorz Onisk Maciej Rachwalik Roman Przybylski Krzysztof Reczuch Marcin Protasiewicz
author_sort	Piotr Kübler
title	Hybrid treatment of a tight aortic stenosis with critical calcified left main disease in a patient with poor left ventricular function
title_short	Hybrid treatment of a tight aortic stenosis with critical calcified left main disease in a patient with poor left ventricular function
title_full	Hybrid treatment of a tight aortic stenosis with critical calcified left main disease in a patient with poor left ventricular function
title_fullStr	Hybrid treatment of a tight aortic stenosis with critical calcified left main disease in a patient with poor left ventricular function
title_full_unstemmed	Hybrid treatment of a tight aortic stenosis with critical calcified left main disease in a patient with poor left ventricular function
title_sort	hybrid treatment of a tight aortic stenosis with critical calcified left main disease in a patient with poor left ventricular function
publisher	Termedia Publishing House
publishDate	2021
url	https://doaj.org/article/00f315a82d4b481c80f96dcc072760db
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Hybrid treatment of a tight aortic stenosis with critical calcified left main disease in a patient with poor left ventricular function

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