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Transapical aortic valve implantation - a rescue procedure for patients with aortic stenosis and "porcelain aorta". 2011
Katarzyna Czerwinska, and
Ewa Orłowska-Baranowska, and
Adam Witkowski, and
Marcin Demkow, and
Elżbieta Abramczuk, and
Piotr Michałek, and
Lidia Greszata, and
Patrycjusz Stoklosa, and
Krzysztof Kuśmierski, and
Jaroslaw Kowal, and
Janina Stepinska
Institute of Cardiology, Warsaw, Poland.
Surgical aortic valve replacement (AVR) still remains the treatment of choice in symptomatic significant aortic stenosis (AS). Due to technical problems, extensive calcification of the ascending aorta ("porcelain aorta") is an additional risk factor for surgery and transapical aortic valve implantation (TAAVI) is likely to be the only rescue procedure for this group of patients. We describe the case of an 81-year-old woman with severe AS and "porcelain aorta", in whom the only available life-saving intervention was TAAVI.
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