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Transcatheter Pulmonary Valve Replacement from Autologous Pericardium with a Self-Expandable Nitinol Stent in an Adult Sheep Model
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Cardiovascular syphilis treated with transcatheter aortic valve replacement
Bowen Xiao1, Lulu Liu1, Ying Peng2
1Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Journal of Cardiac Surgery
|February 1, 2022
Summary
Cardiovascular syphilis rarely causes aortic regurgitation and coronary stenosis. This case highlights successful emergent treatment using transcatheter aortic valve replacement and percutaneous coronary intervention.
Area of Science:
- Cardiology
- Infectious Diseases
- Vascular Surgery
Background:
- Cardiovascular syphilis is a rare but serious complication of untreated syphilis.
- It can affect the aorta and coronary arteries, leading to conditions like aortic regurgitation and coronary ostial stenosis.
- Traditional treatment involves on-pump aortic valve replacement and coronary artery bypass grafting, which carries significant risks.
Observation:
- A critical case of cardiovascular syphilis presented with severe aortic regurgitation and left coronary ostial stenosis.
- The patient's condition necessitated emergent intervention due to the high risk of mortality.
- Standard surgical approaches were deemed too high-risk for this critical presentation.
Findings:
- Emergent salvage transcatheter aortic valve replacement (TAVR) was successfully performed.
- Percutaneous coronary intervention (PCI) was concurrently performed to address the left coronary ostial stenosis.
- This combined minimally invasive approach provided a life-saving alternative to conventional surgery.
Implications:
- Transcatheter aortic valve replacement (TAVR) and percutaneous coronary intervention (PCI) offer a viable and potentially life-saving alternative for critical cardiovascular syphilis.
- This case expands the indications for TAVR and PCI in complex cardiovascular conditions.
- Further research is warranted to establish the long-term efficacy and safety of this approach in cardiovascular syphilis.
Keywords:
cardiovascular syphilispercutaneous coronary interventiontranscatheter aortic valve replacementMore Related Videos
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