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Tag Archives: aortic valve stenosis

April 2021 Br J Cardiol 2021;28(2) doi:10.5837/bjc.2021.020

Minimising permanent pacemaker implantation (PPI) after TAVI

Philip MacCarthy, Azfar Zaman, Neal Uren, James Cockburn, Stephen Dorman, Iqbal Malik, Douglas Muir, Muhiddin (Mick) Ozkor, David Smith, Sarah Shield

Abstract

Introduction Severe aortic stenosis (AS) is the most common degenerative heart valve disease (HVD).1 There are growing numbers of patients with AS who are waiting for transcatheter aortic valve implantation (TAVI), as rates of degenerative HVD rise. Around 1.5 million people in the UK currently have moderate-to-severe HVD, and numbers are expected to rise to 2.7 million by 2040.2 Figure 1 shows the level of undiagnosed patients across all age groups with severe symptomatic AS.3 A significant proportion of patients who are receiving TAVI are aged 75 to 90 years, an increasing demographic in the National Health Service (NHS) as the population a

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April 2021 Br J Cardiol 2021;28(2) doi:10.5837/bjc.2021.023

TAVR for severe aortic stenosis and papillary fibroelastoma in a high-risk setting

Ishtiaq Rahman, Ammar Alibrahim, Mohammad Zahrani, Joji Ito, Kim Connelly, Chris Buller, Mark Peterson, David Latter

Abstract

Introduction Papillary fibroelastoma (PFE) are rare intra-cardiac tumours and manifest with varied clinical presentation. This report highlights the application of transcatheter aortic valve replacement (TAVR) in patients with severe aortic stenosis, compounded by PFE, as a strategy to mitigate the high risk of redo surgery in patients with multiple comorbidities. Case presentation We report a 75-year-old man who presented with multiple syncopal episodes, who had undergone previous coronary artery bypass grafting (CABG). Both left internal mammary arterial (LIMA) graft to left anterior descending (LAD) artery and saphenous vein graft to diago

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