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