A case in which aortic valve replacement was performed for aortic stenosis in a patient with a dialysis vintage of 44 years

Q: What is the clinical evidence from this study?

Study design: Case Report. Population: Aortic stenosis and long-term hemodialysis (n=1). Intervention: Aortic valve replacement (bovine pericardial bioprosthetic valve). Primary outcome: Surgical success and hospital discharge.

Yoshiyasu Ogura; Sumio Miura; Yuto Takenaka; Toyohiro Hashiba; Emi Hurukawa; Hiroko Ambe; Kengo Mayumi; Satoshi Huruse; Tsuyoshi Taketani; Takayuki Ohno; Masaya Mori; Naobumi Mise

doi:10.4009/jsdt.54.159

January 1, 2021Nihon Toseki Igakkai ZasshiOpen Access

A case in which aortic valve replacement was performed for aortic stenosis in a patient with a dialysis vintage of 44 years

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Key result

Aortic valve replacement was successfully performed in a patient with a 44-year dialysis vintage, revealing marked calcification and dialysis-related amyloidosis in the aortic valve leaflets.

Study Design

Type

Case Report (n=1)

Structured PICO

P

Population

A male patient in his 70s with a 44-year history of hemodialysis who underwent aortic valve replacement for severe aortic stenosis.

I

Intervention

Aortic valve replacement (AVR) using a bovine pericardial bioprosthetic valve

O

Outcome

Successful aortic valve replacement and symptom improvement

Aortic valve replacement can be safely performed in patients with extremely long-term hemodialysis (44 years) despite severe calcification and dialysis-related amyloidosis.

Implication

AVR feasible in extreme dialysis vintage; hypothesis-generating for amyloidosis contribution to valvular calcification.

Discussion

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Cite This Study

Ogura et al. (2021) conducted a case report in Aortic stenosis and long-term hemodialysis (n=1). Aortic valve replacement (bovine pericardial bioprosthetic valve) was evaluated on Surgical success and hospital discharge. Aortic valve replacement was successfully performed in a patient with a 44-year dialysis vintage, revealing marked calcification and dialysis-related amyloidosis in the aortic valve leaflets.

synapsesocial.com/papers/6a97fed157c1a267367709b1 https://doi.org/10.4009/jsdt.54.159

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A case in which aortic valve replacement was performed for aortic stenosis in a patient with a dialysis vintage of 44 years

Study Design

Structured PICO

Implication

Discussion

Cite This Study

A case in which aortic valve replacement was performed for aortic stenosis in a patient with a dialysis vintage of 44 years

Study Design

Structured PICO

Implication

Discussion

Cite This Study

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