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Updated: Jun 2, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
08:31

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair

Published on: October 16, 2021

How should I treat acute valve regurgitation?

Carl Schultz1, Nicolo Piazza, Annick Weustink

  • 1Department of Cardiology, Erasmus MC Rotterdam, The Netherlands.

Eurointervention : Journal of Europcr in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology
|May 10, 2011
PubMed

Insights

This study reports on transcatheter aortic valve implantation (TAVI) in an 81-year-old male with severe aortic stenosis unsuitable for surgery. The procedure successfully replaced the native valve with a 29 mm CoreValve prosthesis.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Medical Devices

Background:

  • An 81-year-old male presented with severe angina and dyspnea (NYHA class 3).
  • The patient had a history of coronary bypass surgery and significant aortic stenosis (transaortic peak gradient of 109 mmHg).
  • With a logistic Euro-SCORE of 21.6, the patient was deemed high-risk for conventional surgical aortic valve replacement.

Observation:

  • Preprocedural imaging revealed an aortic root diameter ranging from 24.4 mm (TTE) to 26.9 mm (angiography) and 26.8 x 30.2 mm (MSCT).
  • Multislice computed tomography (MSCT) indicated heavy calcification of the aortic root and coronary arteries.

Findings:

  • The patient underwent transcatheter aortic valve replacement (TAVI).
  • A 29 mm CoreValve prosthesis was successfully implanted.

Implications:

  • TAVI offers a viable alternative for high-risk patients with severe aortic stenosis and complex anatomy.
  • Successful TAVI in this case highlights the potential of minimally invasive approaches for complex cardiovascular cases.
  • This case underscores the importance of advanced imaging (MSCT) in TAVI planning for accurate prosthesis sizing and risk assessment.
Abstract

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