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Content Provider | World Health Organization (WHO)-Global Index Medicus |
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Author | Castiglioni, Alessandro Pozzoli, Alberto Maisano, Francesco Alfieri, Ottavio |
Description | Country affiliation: Italy Author Affiliation: Castiglioni A ( Heart Surgery Unit, San Raffaele University Hospital, Milan, Italy. albertopozzoli@gmail.com) |
Abstract | Transcatheter aortic valve implantation (TAVI) was introduced five years ago (2007) as an alternative treatment for patients with severe aortic stenosis, who are considered at too high a risk for surgical replacement. Few cases of postoperative infection by TAVI device are reported in the literature. We report the case of a patient with Osler-Weber-Rendu (OWR) syndrome, in which the TAVI procedure was preferred at the outset to avoid the risk of bleeding. He was diagnosed with endocarditis on the TAVI device one year later; he then underwent an uneventful surgical aortic valve replacement. In these complex clinical cases it is difficult to determine a 'gold standard' treatment and the possibility of offering patients both the percutaneous treatment and the surgical replacement appears to be desirable. Correction of the valve disease improves the outcome, reducing the episodes of haemorrhage and the need for blood transfusions. |
File Format | HTM / HTML |
ISSN | 15699293 |
e-ISSN | 15699285 |
DOI | 10.1093/icvts/ivs230 |
Journal | Interactive CardioVascular and Thoracic Surgery |
Issue Number | 3 |
Volume Number | 15 |
Language | English |
Publisher | Oxford University Press |
Publisher Date | 2012-09-01 |
Publisher Place | Great Britain (UK) |
Access Restriction | Open |
Subject Keyword | Discipline Cardiology Discipline Surgery Aortic Valve Stenosis Surgery Aortic Valve Cardiac Catheterization Adverse Effects Endocarditis Etiology Heart Valve Prosthesis Implantation Telangiectasia, Hereditary Hemorrhagic Complications Diagnosis Echocardiography, Transesophageal Femoral Artery Tomography, X-ray Computed |
Content Type | Text |
Resource Type | Case study Article |
Subject | Cardiology and Cardiovascular Medicine Surgery Pulmonary and Respiratory Medicine |
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