The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

HOW SHOULD I TREAT?

How should I treat a TAVI-eligible patient with a left ventricular thrombus and rapid clinical deterioration?

EuroIntervention 2017;12:2033-2036. DOI: 10.4244/EIJ-D-16-00338

1. 2nd Department of Cardiology, National and Kapodistrian University of Athens School of Medicine, Attikon University Hospital, Haidari, Greece; 2. Department of Cardiothoracic Surgery, National and Kapodistrian University o


CASE SUMMARY

BACKGROUND: An 89-year-old male with heart failure due to severe aortic stenosis and chronic renal failure was scheduled for transcatheter aortic valve implantation (TAVI).

INVESTIGATION: The day before the procedure the patient underwent an echocardiogram (as per in-house pre-procedural protocol). A large mobile thrombus was discovered at the left ventricular apex, and the TAVI procedure was cancelled.

DIAGNOSIS: Severe calcific aortic stenosis with a large mobile intracavitary thrombus.

MANAGEMENT: As the patient presented four weeks later with worsening symptoms of acute heart failure and could not be weaned from intravenous furosemide, the Heart ...

Sign in to read and download the full article

Forgot your password?
No account yet? Sign up for free!
Create my pcr account

Join us for free and access thousands of articles from EuroIntervention, as well as presentations, videos, cases from PCRonline.com

Read next article
How should I treat an asymptomatic aortic coarctation with a concomitant dissection of the descending aorta?