Decompensated aortic valve stenosis: case report of a TAVI performed in time
█ Case report
Szántó Gyula, Szűcsborus Tamás, Sasi Viktor, Nagy Viktória, Rácz Gergely, Makai Attila, Pap Róbert, Ungi Imre
Szegedi Tudományegyetem, Általános Orvostudományi Kar, Szent-Györgyi Albert Klinikai Központ, Belgyógyászati Klinika
In this article, we present the case of an 81-year-old male patient having left ventricular systolic dysfunction partly due to chronic myocardial ischaemia who was diagnosed with true severe aortic valve stenosis. After treatment of coronary artery stenosis, transcatheter aortic valve implantation (TAVI) was indicated, but the course of the disease was rapidly progressive, left ventricular systolic dysfunction became very severe by the time of the planned intervention, and acute right ventricular failure developed as a consequence as well. No haemodynamic instability occurred therefore the intervention could be postponed and could be performed routinely without any significant risks after successful inotropic therapy. Based on the one-year follow-up, TAVI was successful, left and right ventricular systolic function almost completely normalized.