Transcatheter Aortic Valve Implantation in a Nonagenarian with Aortic Aneurysm: Futility or Utility?
Transcatheter aortic valve implantation (TAVI) has emerged as the standard of care for older patients with symptomatic severe aortic stenosis (AS) at high or excessive operative risk. There remain patients that are of such considerable risk that even TAVI can be futile. Such patients present ethical...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2018/5434953 |
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| _version_ | 1832563598336983040 |
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| author | Evelyn Fennelly Marcus Lee Mark Da Costa Sherif Sultan Faisal Sharif Darren Mylotte |
| author_facet | Evelyn Fennelly Marcus Lee Mark Da Costa Sherif Sultan Faisal Sharif Darren Mylotte |
| author_sort | Evelyn Fennelly |
| collection | DOAJ |
| description | Transcatheter aortic valve implantation (TAVI) has emerged as the standard of care for older patients with symptomatic severe aortic stenosis (AS) at high or excessive operative risk. There remain patients that are of such considerable risk that even TAVI can be futile. Such patients present ethical conundrums for institutional heart teams. Herein we present a case of a 90-year-old female patient with symptomatic severe AS and significant comorbidities including diffuse peripheral vascular disease and a large ascending aortic aneurysm. Would TAVI be utile or futile in this patient? |
| format | Article |
| id | doaj-art-df1984dbf53644ba892f1ce237f18899 |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-df1984dbf53644ba892f1ce237f188992025-02-03T01:13:11ZengWileyCase Reports in Cardiology2090-64042090-64122018-01-01201810.1155/2018/54349535434953Transcatheter Aortic Valve Implantation in a Nonagenarian with Aortic Aneurysm: Futility or Utility?Evelyn Fennelly0Marcus Lee1Mark Da Costa2Sherif Sultan3Faisal Sharif4Darren Mylotte5Department of Cardiology, University Hospital Galway, Galway, IrelandDepartment of Cardiology, University Hospital Galway, Galway, IrelandDepartment of Cardiothoracic Surgery, University Hospital Galway, Galway, IrelandDepartment of Vascular Surgery, University Hospital Galway, Galway, IrelandDepartment of Cardiology, University Hospital Galway, Galway, IrelandDepartment of Cardiology, University Hospital Galway, Galway, IrelandTranscatheter aortic valve implantation (TAVI) has emerged as the standard of care for older patients with symptomatic severe aortic stenosis (AS) at high or excessive operative risk. There remain patients that are of such considerable risk that even TAVI can be futile. Such patients present ethical conundrums for institutional heart teams. Herein we present a case of a 90-year-old female patient with symptomatic severe AS and significant comorbidities including diffuse peripheral vascular disease and a large ascending aortic aneurysm. Would TAVI be utile or futile in this patient?http://dx.doi.org/10.1155/2018/5434953 |
| spellingShingle | Evelyn Fennelly Marcus Lee Mark Da Costa Sherif Sultan Faisal Sharif Darren Mylotte Transcatheter Aortic Valve Implantation in a Nonagenarian with Aortic Aneurysm: Futility or Utility? Case Reports in Cardiology |
| title | Transcatheter Aortic Valve Implantation in a Nonagenarian with Aortic Aneurysm: Futility or Utility? |
| title_full | Transcatheter Aortic Valve Implantation in a Nonagenarian with Aortic Aneurysm: Futility or Utility? |
| title_fullStr | Transcatheter Aortic Valve Implantation in a Nonagenarian with Aortic Aneurysm: Futility or Utility? |
| title_full_unstemmed | Transcatheter Aortic Valve Implantation in a Nonagenarian with Aortic Aneurysm: Futility or Utility? |
| title_short | Transcatheter Aortic Valve Implantation in a Nonagenarian with Aortic Aneurysm: Futility or Utility? |
| title_sort | transcatheter aortic valve implantation in a nonagenarian with aortic aneurysm futility or utility |
| url | http://dx.doi.org/10.1155/2018/5434953 |
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