Master of cardiothoracic surgery: transcaval transcatheter aortic valve replacement

摘要

A 70-year-old veteran with worsening shortness of breath and exertional angina presented for treatment of severe symptomatic aortic stenosis (AS). Relevant medical history included coronary artery disease with coronary artery bypass grafting, chronic kidney disease, hypertension, diabetes mellitus, and prior cerebral vascular accident with residual right sided weakness. Considering the patient’s comorbidities and Society of Thoracic Surgery score of 5.152%, the patient and heart team decided to proceed with transcatheter aortic valve replacement (TAVR).