ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Aortic valve replacement using valve-in-valve procedure in a patient with left atrial appendage thrombus
Mehmet Erdoğan1, Engin Bozkurt2
1Department of Cardiology, Ankara City Hospital, Ankara, Turkey
2Department of Cardiology, Ankara Yıldırım Beyazıt University Faculty of Medicine, Ankara, Turkey
DOI : 10.5606/tgkdc.dergisi.2020.18613
In recent years, indications and age range of patients who are eligible for transcatheter aortic valve replacement have been increasingly extended. The presence of a thrombus in the left atrial appendage is an exclusion criterion in many studies using transcatheter aortic valve replacement. An 86-year-old male patient was admitted with symptomatic severe aortic stenosis secondary to degeneration of a 22-mm bioprosthetic valve implanted 14 years ago. Transesophageal echocardiography revealed a thrombus in the left atrial appendage and it was confirmed by contrast-enhanced computed tomography. The balloon-expandable valve was successfully implanted into the degenerated aortic bioprosthesis. In conclusion, we aimed to show that valve-in-valve transcatheter aortic valve replacement can be performed in a patient with thrombus in the left atrial appendage.
Keywords : Atrial fibrillation, left atrial appendage thrombus, transcatheter aortic valve replacement, valve-in-valve
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