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10.5606/tgkdc.dergisi.2020.18613
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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