A patient with history of orthotopic heart transplant, followed by tricuspid valve replacement, and two subsequent balloon valvuloplasties was offered transcatheter tricuspid valve replacement to avoid what would have been his fourth sternotomy.
The hemodynamic features of subacute aortic regurgitation include equalization of left ventricular pressure and the aortic pressure during diastole, a mildly increased pulse pressure, and systemic hypotension.
The axillary artery is an alternative, large-caliber vessel that can be utilized in the presence of hostile aortoiliac segments. It can accommodate sheaths up to 18 Fr and is infrequently affected by atherosclerosis.
This case is illustrative of the potential role of coronary CT angiography to identify the severity and mechanism of restenosis, and thus guide the PCI procedure in a case of especially difficult catheterization.
Kugel described the arteria anastomotica auricularis magna. We describe a first case of chronic total occlusion of the right coronary artery that was successfully recanalized using the reverse controlled antegrade and retrograde subintimal tracking t…
We report the case of a myocardial infarction in the postpartum period due to a spontaneous coronary artery dissection. Intracoronary imaging (optical coherence tomography) was critical and led us to formulate the right diagnosis.
As experience with Perceval aortic prosthesis and valve-in-valve TAVR grows, it will be crucial to meticulously document short- and long-term follow-up for establishment of real-world safety and durability of these new technologies.
Born from surgical risk considerations, TAVR ultimately will be defined by individualized outcomes. As we treat severe aortic stenosis among ever lower-risk patients, we will need to retain both TAVR and SAVR as possible options.