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You are here: Contents > 2018-19 > Volume 27 Number 2 (2018-19) > CASE REPORTS > Subclavian Transcatheter Aortic Valve Implantation for Aortic Stenosis with Antiphospholipid Syndrome

Subclavian Transcatheter Aortic Valve Implantation for Aortic Stenosis with Antiphospholipid Syndrome

Raja Ohri1, Miles Dalby2, Shahzad G. Raja1,3

1Department of Cardiac Surgery, Harefield Hospital, London, United Kingdom
2Department of Cardiology, Harefield Hospital, London, United Kingdom
3Electronic correspondence: drrajashahzad@hotmail.com
A 56-year-old woman with established antiphospholipid syndrome (APS), chronic kidney disease, chronic bronchitis, previous venoplasty and stenting of her superior vena cava, as well as receiving long-term total parenteral nutrition for short gut syndrome secondary to mesenteric infarction, was diagnosed with critical aortic stenosis and severely impaired left ventricular function. Due to her complex medical history, traditional aortic valve
replacement was considered a high-risk strategy. Following heart team discussions, the patient underwent successful transcatheter aortic valve implantation (TAVI) via the subclavian route, preceded by balloon aortic valvuloplasty, as a bridge to TAVI. This is the first reported case of successful TAVI in a patient with multi-organ involvement secondary to APS.

The Journal of Heart Valve Disease 2018;27:188-190
Subclavian Transcatheter Aortic Valve Implantation for Aortic Stenosis with Antiphospholipid Syndrome

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