Successful subclavian transcatheter aortic valve replacement in a nonagenarian patient: Case report and review of literature.

ABSTRACT:

Rationale

In super-aged patients with severe symptomatic aortic stenosis, transcatheter aortic valve replacement (TAVR) is a good treatment option, and the number of TAVR-eligible elderly patients is expected to grow exponentially. We present the case of a nonagenarian woman with severe aortic stenosis who underwent successful subclavian TAVR.

Patient concerns

A 90-year-old Korean woman was brought to our department with dyspnea. On physical examination, a grade IV systolic murmur was auscultated in both the upper sternal borders and the left lower sternal border.

Diagnosis

A transthoracic echocardiogram showed heavy calcification of the aortic valve with an increase in both peak velocity (4.36 m/s) and mean pressure (44.8 mm Hg), indicating severe symptomatic aortic

SUBMITTER: Oh S 

PROVIDER: S-EPMC8797506 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature