Key result
Transapical TAVI achieves procedural success in low-gradient aortic stenosis following COVID-19 pneumonia.
Why the study?
Management of elderly patients with symptomatic low-flow, low-gradient aortic stenosis and severe comorbidities including recent COVID-19 infection is complex and requires multidisciplinary decision-making.
Case Report (n=1)
This case demonstrates the feasibility of a multidisciplinary approach for transapical TAVI in a highly comorbid elderly patient with low-gradient aortic stenosis and recent COVID-19 pneumonia.
Adds case-level experience with transapical TAVI in low-flow low-gradient AS; leaves open need for prospective validation before practice change.
Aortic stenosis is the leading entity in the structure of valvular pathology in adult population with the frequency ranging from 2 to 4% in the general population. The distinct features of this defect include slow progression and frequent lack of correlation between the severity of stenosis according to clinical and instrumental data. The article presents the case of successful transcatheter aortic valve implantation by transapical access in a 71-year-old patient with symptomatic low-flow, low-gradient aortic stenosis, heart failure with preserved left ventricular ejection fraction, a history of coronary artery bypass grafting, severe concomitant pathology, and recent moderate COVID-19 coronavirus infection. The complexity of management of elderly patients with combined pathology is updated, and a multidisciplinary approach to clinical decision-making in a high-risk clinical situation is demonstrated.
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Batalova et al. (2022) conducted a case report in symptomatic low-flow, low-gradient aortic stenosis (n=1). transcatheter aortic valve implantation by transapical access was evaluated. Transcatheter aortic valve implantation by transapical access was successfully performed in a 71-year-old patient with low-gradient aortic stenosis and recent COVID-19 pneumonia.
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