Case Studies
Journal of Structural Heart Disease, December 2018, Volume 4, Issue 6:258-260
DOI: 10.12945/j.jshd.2019.007.18
Transcatheter Aortic Valve Replacement for Failed Aortic Homograft in a Young HIV Positive Patient
Oscar Alfredo Mendiz, MD*, Carlos Miguel Fava, MD, Gustavo Alejandro Lev, MD, León Rashid Valdivieso, MD, Mario Gaspar Caponi, MD, Paul John Gamboa, MD
Interventional Cardiology Department, Cardiology & Cardiovascular Surgery Institute, Favaloro Foundation University Hospital, Buenos Aires, Argentina
Abstract
Transcatheter aortic valve replacement (TAVR) represents an alternative in both native and prosthetic aortic valves disease in high surgical risk patients. We report the case of a 31-year-old HIV positive patient with severe aortic homograft dysfunction due to massive calcification who was successfully treated with TAVR. After successful Transcatheter Heart Valve (THV) implantation achieving an acceptable result, the patient improved her symptoms and a 10-month echo and angio CT Scan Follow-Up also showed acceptable outcomes with moderate central regurgitation and stable mean gradient without leaflets deterioration despite some THV outflow under-expansion.
Cite this article as: Mendiz OA, Fava CM, Lev GA, Valdivieso LR, Caponi MG, Gamboa PJ. Transcatheter Aortic Valve Replacement for Failed Aortic Homograft in a Young HIV Positive Patient. Structural Heart Disease 2018;4(6):258-260. DOI: 10.12945/j.jshd.2019.007.18
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Case Studies
Journal of Structural Heart Disease, December 2018, Volume 4, Issue 6:258-260
DOI: 10.12945/j.jshd.2019.007.18
Transcatheter Aortic Valve Replacement for Failed Aortic Homograft in a Young HIV Positive Patient
Oscar Alfredo Mendiz, MD*, Carlos Miguel Fava, MD, Gustavo Alejandro Lev, MD, León Rashid Valdivieso, MD, Mario Gaspar Caponi, MD, Paul John Gamboa, MD
Interventional Cardiology Department, Cardiology & Cardiovascular Surgery Institute, Favaloro Foundation University Hospital, Buenos Aires, Argentina
Abstract
Transcatheter aortic valve replacement (TAVR) represents an alternative in both native and prosthetic aortic valves disease in high surgical risk patients. We report the case of a 31-year-old HIV positive patient with severe aortic homograft dysfunction due to massive calcification who was successfully treated with TAVR. After successful Transcatheter Heart Valve (THV) implantation achieving an acceptable result, the patient improved her symptoms and a 10-month echo and angio CT Scan Follow-Up also showed acceptable outcomes with moderate central regurgitation and stable mean gradient without leaflets deterioration despite some THV outflow under-expansion.
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Cite this article as: Mendiz OA, Fava CM, Lev GA, Valdivieso LR, Caponi MG, Gamboa PJ. Transcatheter Aortic Valve Replacement for Failed Aortic Homograft in a Young HIV Positive Patient. Structural Heart Disease 2018;4(6):258-260. DOI: 10.12945/j.jshd.2019.007.18
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