Author/Authors :
Aytekin, Saide İstanbul Bilim Üniversitesi - Kardiyoloji Anabilim Dalı, Türkiye , Tayyareci, Yelda Florence Nightingale Hospital - Cardiology Division, Turkey , Erdim, Refik Istanbul Bilim University - Florence Nightingale Hospital - Department of Cardiology, Turkey , Çatakoğlu, Alp Burak Istanbul Bilim University - Florence Nightingale Hospital - Department of Cardiology, Turkey , Akpınar, Belhan Florence Nightingale Hospital - Clinic of Cardiovascular Surgery, Turkey , Aytekin, Vedat Istanbul Bilim University - Florence Nightingale Hospital - Department of Cardiology, Turkey
Abstract :
A 85-year-old female presented with severe aortic stenosis (AS), shortness of breath and syncope with a Class 4 (New York Heart Association) functional capacity. Echocardiography showed severe AS with an aortic valve area (AVA) of 0.86 cm2, index AVA of 0.40 cm2/m2 and mean trans-aortic gradient of 44 mmHg. Coronary angiography was normal. Patient was considered to be at a high-risk for open cardiac surgery due to her advanced age and co-morbidities [Society of Thoracic Surgeons (STS) score 19.3%], and was offered transfemoral transcatheter aortic valve implantation (TAVI).
