TF TAVR with 29mm Navitor Vision Valve for Optimal Hemodynamics
Автор: CCC Live Cases
Загружено: 2026-01-30
Просмотров: 574
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Case and Plan:
82-year-old male with history of hypertension, hyperlipidemia, diabetes, atrial fibrillation s/p ablation, CAD s/p CABG (LIMA-LAD, SVG-RPDA, OM1) and LAA closure (3/2/2022), CVA Left temporal bleed (2024), bilateral carotid artery stenosis s/p bilateral Carotid endarterectomy (2024), colon cancer s/p colon resection (2025), osteoarthritis s/p left TKR (2017), severe frailty, now presents with progressive shortness of breath on exertion. Recent echo revealed LVEF of 55%, severe valvular aortic stenosis (PG/MG/PV/AVA: 41/24/3.21/0.95), mild AR and mild MR. CTA showed severe AS with calcium score 1267, mean aortic annulus of 26.3 mm, annular perimeter 82.9 mm and annular area 536.7 mm2. His STS PROM score for SAVR was 3.47% and Heart Team evaluation found him to be high surgical risk. Now planned for transfemoral TAVR via right percutaneous femoral arterial access using a 29 mm NAVITOR Vision valve.
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