A 55-year-old male with a history of two prior cardiac surgeries presented with decompensated heart failure due to severe bioprosthetic aortic valve insufficiency. A third operation was viewed prohibitively high risk and valve-in-valve trans-catheter aortic valve replacement was considered. There were however several high-risk features and technically challenging aspects including low coronary ...

forearm exercise in normal subjects and patients with congestive heart failure. Circulation 50: 137, 1974 30. Goldberg S, Mann T, Grossman W: Nitrate therapy of heart failure in valvular heart disease. Am J Med 65: 161, 1978 31. Clark DG, McAnulty JH, Rahimtoola SH: Results of valve replacement in aortic incompetence with left ventricular dysfunction. Circulation 61: 411, 1980 32. Kennedy JW, D...

BACKGROUND Although symptomatic patients with severe aortic stenosis have a high disease burden and guidelines recommend aortic valve replacement, many are treated conservatively. This study describes to what extent quality of life is changed by aortic valve replacement relative to conservative treatment. METHODS This observational study followed 132 symptomatic patients with severe aortic st...

OBJECTIVES the aim of this study was to evaluate the long-term results of transcatheter balloon aortic valvuloplasty, the preferred treatment for congenital aortic stenosis (AS). BACKGROUND aortic valve function and reintervention late after this procedure are not well characterized. METHODS from 1985 to 2008, 563 patients underwent balloon dilation for congenital AS. After excluding those ...

We describe a patient with a femoral neck fracture undergoing an aortic valve replacement. The study design was a case report. An 82-year-old female with an untreated right femoral neck fracture, and a severe aortic valve stenosis was admitted to a cardiac surgery department for surgical treatment of the valve disease. She underwent aortic valve replacement with a sutureless biological valve pr...

OBJECTIVES We describe procedural and clinical outcomes in a high-risk cohort undergoing transcatheter aortic valve replacement with early next-generation transcatheter valve and delivery systems. BACKGROUND Percutaneous aortic valve replacement is gaining acceptance as a viable option in patients at high surgical risk. Broader application will require further advances in valve and delivery s...

A 41-year-old African male presented with worsening dyspnea and cachexia concerning for congestive heart failure. Transesophageal echocardiogram revealed a large mass attached to the aortic valve leaflet, mass attached to the flail anterior mitral valve leaflet, severe pulmonary hypertension and dilatation of the aortic root along with fistula between the right coronary aortic cusp and the righ...

Although renal failure is one of the known comorbidities associated with rapid progression of aortic stenosis, it is unclear whether hemodialysis alters the progression of prosthetic aortic valve stenosis. We describe a 79-year-old female who underwent bioprosthetic aortic valve replacement 8 years ago with stable prosthetic valve area for the initial 6 years. In the last two years, coinciding ...

V alve replacement for aortic stenosis is easily recognized as life saving, because of the short survival of most patients with advanced symptomatic stages of aortic stenosis. However, there is an increased late mortality from congestive heart failure occurring years after the aortic valve replacement. This problem has been thought to relate to irreversible myocardial changes, manifested morpho...

A 73-year-old woman was admitted to our hospital for a scheduled percutaneous transcatheter balloon valvuloplasty of a stenotic tricuspid bioprosthesis. The patient had a history consistent with exertional dyspnea, abdominal distension, and edema of the lower extremities resistant to diuretic treatment over the previous few months. Forty-three years prior, she underwent aortic valve replacement...