How would you treat this 76-year-old female patient presenting with significant dyspnea (NYHA III), a history of CAD, and recent NSTEMI with stenting of the RCA? On examination, she has a systolic heart murmur, and TTE reveals severe aortic stenosis with mild regurgitation, along with severe left ventricular hypertrophy. CT angiography confirms significant aortic calcification and a small aortic annulus. Given her complex clinical picture, what would be your approach to managing this patient’s severe aortic stenosis and associated comorbidities?
16 Dec 2024
Self-expanding intra-annular TAVI in small annulus
This case has been accredited by EBAC with 1 CME credit
How would you treat this 76-year-old female patient presenting with significant dyspnea (NYHA III), a history of CAD, and recent NSTEMI with stenting of the RCA? On examination, she has a systolic heart murmur, and TTE reveals severe aortic stenosis with mild regurgitation, along with severe left ventricular hypertrophy. CT angiography confirms significant aortic calcification and a small aortic annulus. Given her complex clinical picture, what would be your approach to managing this patient’s severe aortic stenosis and associated comorbidities?
Author
Interventional cardiologist / Cardiologist
Cologne, Germany
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