How should I treat acute valve regurgitation?

• Published in: EuroIntervention Vol. 7; no. 1; pp. 151 - 159
• Main Authors: SCHULTZ, Carl, PIAZZA, Nicolo, DELGADO, Victoria, SCHALIJ, Martin J, BAX, Jeroen J, WEUSTINK, Annick, LIGTHART, Jurgen, OTTEN, Amber, DE JAEGERE, Peter, SERRUYS, Patrick W, DUCROCQ, Gregory, HIMBERT, Dominique, VAHANIAN, Alec
• Format: Journal Article
• Language: English
• Published: Toulouse Société Europa Edition 01-05-2011
• Subjects: Acute Disease; Aged; Aged, 80 and over; Aortic Valve Insufficiency - diagnosis; Aortic Valve Insufficiency - surgery; Biological and medical sciences; Cardiology. Vascular system; Endocardial and cardiac valvular diseases; Heart; Heart Valve Prosthesis Implantation; Humans; Male; Medical sciences; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Aortic stenosis; Treatment; Cardiac valvular disease; Acute; Regurgitation; TAVI; aortic valve stenosis; Cardiovascular disease; Valve; Aortic valve
• ISSN: 1774-024X; 1969-6213
• DOI: 10.4244/EIJV7I1A25

An 81-year-old male with symptoms of angina and dyspnoea (NYHA 3), a history of coronary bypass surgery, a transaortic peak gradient of 109 mmHg on transthoracic echocardiography and a logistic Euro-SCORE of 21.6 was deemed suboptimal for surgery by a multidisciplinary team and was accepted for TAVI.
Preprocedural diameter of the native aortic root was 24.4 mm on transthoracic echocardiography (TTE), 26.9 mm on contrast angiography and 26.8 mm by 30.2 mm on multislice computed tomography (MSCT).
heavy calcification of the aortic root and coronary arteries by MSCT.
Transcatheter aortic calve replacement with an 29 mm CoreValve prosthesis.