Transcatheter Aortic Valve Implantation in a Nonagenarian with Aortic Aneurysm: Futility or Utility?

Transcatheter aortic valve implantation (TAVI) has emerged as the standard of care for older patients with symptomatic severe aortic stenosis (AS) at high or excessive operative risk. There remain patients that are of such considerable risk that even TAVI can be futile. Such patients present ethical...

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Autores principales: Fennelly, Evelyn, Lee, Marcus, Da Costa, Mark, Sultan, Sherif, Sharif, Faisal, Mylotte, Darren
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5816879/
https://www.ncbi.nlm.nih.gov/pubmed/29487750
http://dx.doi.org/10.1155/2018/5434953
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author Fennelly, Evelyn
Lee, Marcus
Da Costa, Mark
Sultan, Sherif
Sharif, Faisal
Mylotte, Darren
author_facet Fennelly, Evelyn
Lee, Marcus
Da Costa, Mark
Sultan, Sherif
Sharif, Faisal
Mylotte, Darren
author_sort Fennelly, Evelyn
collection PubMed
description Transcatheter aortic valve implantation (TAVI) has emerged as the standard of care for older patients with symptomatic severe aortic stenosis (AS) at high or excessive operative risk. There remain patients that are of such considerable risk that even TAVI can be futile. Such patients present ethical conundrums for institutional heart teams. Herein we present a case of a 90-year-old female patient with symptomatic severe AS and significant comorbidities including diffuse peripheral vascular disease and a large ascending aortic aneurysm. Would TAVI be utile or futile in this patient?
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spelling pubmed-58168792018-02-27 Transcatheter Aortic Valve Implantation in a Nonagenarian with Aortic Aneurysm: Futility or Utility? Fennelly, Evelyn Lee, Marcus Da Costa, Mark Sultan, Sherif Sharif, Faisal Mylotte, Darren Case Rep Cardiol Case Report Transcatheter aortic valve implantation (TAVI) has emerged as the standard of care for older patients with symptomatic severe aortic stenosis (AS) at high or excessive operative risk. There remain patients that are of such considerable risk that even TAVI can be futile. Such patients present ethical conundrums for institutional heart teams. Herein we present a case of a 90-year-old female patient with symptomatic severe AS and significant comorbidities including diffuse peripheral vascular disease and a large ascending aortic aneurysm. Would TAVI be utile or futile in this patient? Hindawi 2018-02-01 /pmc/articles/PMC5816879/ /pubmed/29487750 http://dx.doi.org/10.1155/2018/5434953 Text en Copyright © 2018 Evelyn Fennelly et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Fennelly, Evelyn
Lee, Marcus
Da Costa, Mark
Sultan, Sherif
Sharif, Faisal
Mylotte, Darren
Transcatheter Aortic Valve Implantation in a Nonagenarian with Aortic Aneurysm: Futility or Utility?
title Transcatheter Aortic Valve Implantation in a Nonagenarian with Aortic Aneurysm: Futility or Utility?
title_full Transcatheter Aortic Valve Implantation in a Nonagenarian with Aortic Aneurysm: Futility or Utility?
title_fullStr Transcatheter Aortic Valve Implantation in a Nonagenarian with Aortic Aneurysm: Futility or Utility?
title_full_unstemmed Transcatheter Aortic Valve Implantation in a Nonagenarian with Aortic Aneurysm: Futility or Utility?
title_short Transcatheter Aortic Valve Implantation in a Nonagenarian with Aortic Aneurysm: Futility or Utility?
title_sort transcatheter aortic valve implantation in a nonagenarian with aortic aneurysm: futility or utility?
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5816879/
https://www.ncbi.nlm.nih.gov/pubmed/29487750
http://dx.doi.org/10.1155/2018/5434953
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