PMID- 20518005
OWN - NLM
STAT- MEDLINE
DCOM- 20110310
LR  - 20161125
IS  - 1522-726X (Electronic)
IS  - 1522-1946 (Linking)
VI  - 76
IP  - 7
DP  - 2010 Dec 1
TI  - Good outcome and valve function despite Medtronic-corevalve underexpansion.
PG  - 1022-5
LID - 10.1002/ccd.22648 [doi]
AB  - An 80-year old nun with severe calcific aortic stenosis and a bicuspid aortic 
      valve was referred for transcatheter aortic valve implantation. She was declined 
      for conventional surgery on the basis of poor left ventricular function, frailty, 
      and a logistic EuroSCORE of 29.66. A 29-mm Medtronic-Corevalve bioprosthesis was 
      implanted by transfemoral route. The inflow portion of the stent frame was 
      grossly underexpanded. However, aortic valve area at 1.3 cm(2) was more than 
      satisfactory for a body surface area of 1.29 m(2) (indexed area 1.0 cm(2)/m(2), 
      peak gradient 23, and mean 16 mmHg). There was an early sustained improvement in 
      New York Heart Association (NYHA) status, and there was no change in valvular 
      function at 2 year follow-up. This case highlights that gross underexpansion of 
      the Medtronic-Corevalve stent frame is compatible with good bioprosthetic 
      function and excellent symptomatic recovery.
CI  - Copyright (c) 2010 Wiley-Liss, Inc.
FAU - Jilaihawi, Hasan
AU  - Jilaihawi H
AD  - Department of Interventional Cardiology, Montreal Heart Institute, Quebec, 
      Canada.
FAU - Asgar, Anita
AU  - Asgar A
FAU - Bonan, Raoul
AU  - Bonan R
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Catheter Cardiovasc Interv
JT  - Catheterization and cardiovascular interventions : official journal of the 
      Society for Cardiac Angiography & Interventions
JID - 100884139
SB  - IM
CIN - Catheter Cardiovasc Interv. 2010 Dec 1;76(7):1026. PMID: 21108378
MH  - Aged, 80 and over
MH  - Aortic Valve/*abnormalities/diagnostic imaging/physiopathology
MH  - Aortic Valve Stenosis/diagnostic imaging/physiopathology/*therapy
MH  - Calcinosis/diagnostic imaging/physiopathology/*therapy
MH  - Cardiac Catheterization/*instrumentation
MH  - Female
MH  - Femoral Artery
MH  - *Heart Valve Prosthesis
MH  - Heart Valve Prosthesis Implantation/*instrumentation/methods
MH  - Hemodynamics
MH  - Humans
MH  - Prosthesis Design
MH  - Recovery of Function
MH  - Severity of Illness Index
MH  - Treatment Outcome
MH  - Ultrasonography
MH  - Ventricular Function, Left
EDAT- 2010/06/03 06:00
MHDA- 2011/03/11 06:00
CRDT- 2010/06/03 06:00
PHST- 2010/06/03 06:00 [entrez]
PHST- 2010/06/03 06:00 [pubmed]
PHST- 2011/03/11 06:00 [medline]
AID - 10.1002/ccd.22648 [doi]
PST - ppublish
SO  - Catheter Cardiovasc Interv. 2010 Dec 1;76(7):1022-5. doi: 10.1002/ccd.22648.