Key result
Transcatheter aortic valve replacement was successfully performed in a female patient with co-existing aortic stenosis and Sjögren's syndrome.
Why the study?
Co-existence of Sjögren's syndrome and AS is infrequent, and cases of TAVR in these patients with detailed management decision-making are lacking.
Case Report (n=1)
TAVR can be successfully performed in patients with aortic stenosis and Sjögren's syndrome with careful management of thrombotic and infection risks.
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Background: The co-existence of Sjögren's syndrome and aortic stenosis (AS) is infrequent, and there lack cases of transcatheter aortic valve replacement (TAVR) for these patients with detailed management decision-making. Case summary: We report a case of a female patient who had AS and Sjögren's syndrome with leukopaenia and thrombocytopaenia. To overcome co-existing hyper-coagulation and high thrombogenesis risk, difficult lifetime valve management, and high infection risk, we performed TAVR with 3D printing and formulated antithrombotic and antibiotic schemes. Conclusion: This case provided a successful experience of TAVR in patients with Sjögren's syndrome. Long-term follow-up will be conducted, and optimization of the therapeutic regimen requires further exploration.
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Yang et al. (2023) conducted a case report in Aortic stenosis and Sjögren's syndrome (n=1). Transcatheter aortic valve replacement (TAVR) was evaluated. Transcatheter aortic valve replacement was successfully performed in a female patient with co-existing aortic stenosis and Sjögren's syndrome.
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